Individual
LUCIS LADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19 SUMMERHAVEN RD, BEAVERCREEK, OH 45440-3624
(419) 348-5807
Mailing address
1021 KENILWORTH AVE STE 2, CLEVELAND, OH 44113-4422
(419) 348-5807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006983
OH
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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