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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LATRAIA SHANAE LANDRUM, MD

Active

DR. LATRAIA SHANAE LANDRUM, MD is a Sports Medicine healthcare provider located in OFFUTT AFB, Nebraska. NPI 1508386871 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · OFFUTT AFB, NE

Registration Details

NPI Number
1508386871
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2017 (9.0872618317785 yrs)
Last Updated
Dec 9, 2022
Licenses
0101265749 (VA)
0101265749 (VA)

Practice Information

Address
2501 CAPEHART RD
OFFUTT AFB, NE, 681131043
Browse NE providers · Browse ZIP 68113
Phone
7193100627
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine

Other Sports Medicine Providers in OFFUTT AFB, NE

Name Credential NPI
THOMAS JASON MEREDITH M.D. 1639465099
JUSTIN JEREMIAH CHIN D.O. 1154825552
DR. HANNAH PEARCE HORNSBY MD 1609433267
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.