Individual
DR. BARBARA L LAUDERDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
804 E FOREST AVE, NEENAH, WI 54956-2831
(920) 722-6692
Mailing address
804 E FOREST AVE, NEENAH, WI 54956-2831
(920) 722-6692
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
27706
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30766900
—
WI
Enumeration date
09/07/2005
Last updated
07/09/2013
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