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LADERER PHYSICIAN SERVICES NPI 1518191188


NPI Information

NPI: 1518191188
Provider Name: LADERER PHYSICIAN SERVICES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2375 GAUSE BLVD E
SLIDELL, LA
ZIP 70461
Phone: (985) 645-9000
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LADERER PHYSICIAN SERVICES is a family medicine in Slidell, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LADERER PHYSICIAN SERVICES NPI is 1518191188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2375 GAUSE BLVD E
SLIDELL, LA
ZIP 70461-142
Phone: (985) 645-9000
Fax: (985) 645-0359

The provider's authorized official is Robert C. Laderer .
The authorized official title is Owner and has the following contact phone number (985) 645-9000.

The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine019740LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
155086MEDICARE PINLOUISIANA
2B89813MEDICARE UPINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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