Provider Demographics
NPI:1437460045
Name:LANDRY, TERESE FRAZIER (MD)
Entity Type:Individual
Prefix:DR
First Name:TERESE
Middle Name:FRAZIER
Last Name:LANDRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:LAHEY HEALTH PRIMARY CARE, LYNNFIELD
Mailing Address - Street 2:6 KIMBALL LANE, SUITE 120
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-2667
Mailing Address - Country:US
Mailing Address - Phone:781-744-7000
Mailing Address - Fax:781-744-5064
Practice Address - Street 1:LAHEY HEALTH PRIMARY CARE, LYNNFIELD
Practice Address - Street 2:6 KIMBALL LANE, SUITE 120
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2667
Practice Address - Country:US
Practice Address - Phone:781-744-7000
Practice Address - Fax:781-744-5064
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2018-02-23
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Provider Licenses
StateLicense IDTaxonomies
MA254545207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine