Individual provider · Type 1 NPI
Dustin Thomas Landgrave, DO
Adult Medicine Physician · Mandeville, LA
NPI number
1588314892
Active
Practice location
1111 N Causeway Blvd
Mandeville, LA 70471-3409
Mailing address
880 City Park Ave Apt 9
New Orleans, LA 70119-3651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Adult Medicine Physician Primary | 207QA0505X | 344606 (LA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
3 other providers at this address
About NPI 1588314892
Dustin Thomas Landgrave, DO's National Provider Identifier is 1588314892, issued on Mar 28, 2022. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Mandeville, LA. The record was last updated on Jun 26, 2025.