Dr. Clyde Edward Landrum
Facial Plastic Surgeon
41 Shadows Bend
New Iberia
, Louisiana 70563
Dr. Clyde Edward Landrum
Facial Plastic Surgeon
41 Shadows Bend
New Iberia
, Louisiana 70563
(337) 369-6829
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Clyde Edward Landrum
- 41 Shadow Bnd
- New Iberia, LA
- Zip : 70563-1738
- Fax : (337) 369-6829
- Phone : (337) 519-3399
Second Address
- Dr. Clyde Edward Landrum
- 41 Shadows Bend
- New Iberia, LA
- Zip : 70563
- Fax : (337) 369-6829
- Phone : (337) 519-3399
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 010907 | LA |
National Provider Identifier
| NPI | 1659662625 |
|---|---|
| Provider Name | Dr. Clyde Edward Landrum |
| First Address | New Iberia, LA 70563-1738 |
| Second Address | New Iberia, LA 70563 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2011 |
| Last Update Date | 26/04/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.