| NPI | 1134374150 |
|---|---|
| Professional Name | LANDIS CROCKETT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME37607) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |