Individual
DR. JENNIFER LAUDADIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205
(501) 686-8000
(501) 296-1184
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 296-1184
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-7838
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083773808
—
VA
01
—
146GU
BCBS
—
01
—
202005
MEDCOST
—
05
—
3810009264
—
WV
05
—
5907192
—
NC
01
—
810654
PARTNERS
—
01
—
9672060
AETNA
—
05
—
Q0077I
—
SC
Enumeration date
12/07/2006
Last updated
07/06/2018
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