Doctor Name: | LINDSEY LANDRENEAU |
NPI Number: | 1144635772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PTH7174 |
Business Practice Address: | 19195 N 3rd St Citronelle, AL - 365224015 |
Business Phone Number: | 2518660464 |
Business Fax Number: | 2568660466 |
Mailing Address: | 1908 Flint Rd Se, DECATUR |
State: | AL |
Postal Code: | 356016031 |
Phone Number: | 2563409708 |
Fax Number: | 2563409624 |
NPI Enumeration Date: | 06/23/2014 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PTH7174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |