Provider Demographics
NPI:1538541859
Name:LANDRENEAU, CHRISTINA LEONARD (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LEONARD
Last Name:LANDRENEAU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-4609
Mailing Address - Country:US
Mailing Address - Phone:337-506-2255
Mailing Address - Fax:337-505-2288
Practice Address - Street 1:411 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586
Practice Address - Country:US
Practice Address - Phone:337-506-2255
Practice Address - Fax:337-505-2288
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.200808363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant