Provider Demographics
NPI:1780286831
Name:MCMAHON, LANDIS ALLISON (NP)
Entity type:Individual
Prefix:MS
First Name:LANDIS
Middle Name:ALLISON
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:5000 W ESPLANADE AVE # 232
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2570
Mailing Address - Country:US
Mailing Address - Phone:504-229-4866
Mailing Address - Fax:504-229-4860
Practice Address - Street 1:3220 S I 10 SERVICE RD W
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2007
Practice Address - Country:US
Practice Address - Phone:504-229-4866
Practice Address - Fax:504-229-4860
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2023-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA211925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily