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NPI Code Detail

MEDICARE: EMILY LANDIS PA-C

MEDICARE: EMILY LANDIS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50.004563RXOH

General Provider Information

NPI Number : 1275991549
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY LANDIS PA-C
Provider Business Mailing Address
First Line : 3000 ARLINGTON AVE STOP 1108
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 MEDICAL CENTER DR
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2687
Country : US
Telephone Number : 937-523-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2016
Last Update Date : 01/22/2026

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Directions to “ EMILY LANDIS PA-C” Practice Location

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