MEDICARE: LANDIS SERVICES, PLLC

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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1558969113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANDIS SERVICES, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1062
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23705-1062
Country	:	US
Telephone Number	:	757-301-1079
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 CRAWFORD ST STE 333
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-2819
Country	:	US
Telephone Number	:	757-301-1079
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARIA A ALAVANJA
Credential	:	MD
Telephone Number	:	301-938-4766

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	06/26/2023

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