Doctor Name: | JON LAWSON LANDEEN |
NPI Number: | 1205890928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 1522641205 |
Business Practice Address: | 719 W 400 N Moab, UT - 845322239 |
Business Phone Number: | 4352597191 |
Business Fax Number: | |
Mailing Address: | 400 E 10th St, WACONIA |
State: | MN |
Postal Code: | 553874552 |
Phone Number: | 9524429770 |
Fax Number: | 9524423630 |
NPI Enumeration Date: | 04/12/2006 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 1522641205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |