Individual
THERESA D LUDEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
819 S HIGHLAND ST, WILLIAMSBURG, IA 52361-9333
(319) 668-2722
(319) 668-2491
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3855
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01257
IA
Other
Enumeration date
06/12/2006
Last updated
03/18/2008
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