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Individual
JENNIFER K LADD
Active
Individual
JENNIFER K LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0420010782
VT
207L00000X
Anesthesiology Physician
234736
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02633558
—
NY
01
—
234736-7W
WORKER'S COMPENSATION
NY
Enumeration date
02/02/2006
Last updated
07/01/2021
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