Individual
LYNNDE DENISE LADOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Mailing address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 147745-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345C1PE
BCBSMN
MN
05
—
453643000
—
MN
Enumeration date
12/13/2006
Last updated
09/02/2014
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