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1578602298
LISA MARIE LANDRY-TAYLOR
LOS ANGELES, CA
NPI
1578602298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA11431)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Ms. LISA MARIE LANDRY-TAYLOR PA
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 310-668-5103
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Mailing Address
Ms. LISA MARIE LANDRY-TAYLOR PA
1642 E CYRENE DR
CARSON, CA 90746-2928
Phone number: 310-635-4378
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