Individual
DR. MELINDA PETERSON LADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 SHADOWLINE DR, SUITE 104, BOONE, NC 28607-5089
(828) 268-1187
(828) 262-9728
Mailing address
400 SHADOWLINE DR, SUITE 400, BOONE, NC 28607-5089
(828) 268-1187
(828) 262-9728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200300057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137P4
—
NC
Enumeration date
09/21/2006
Last updated
06/01/2011
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