Individual
MONICA R LADOUCEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1010 E MCDOWELL RD, STE 301, PHOENIX, AZ 85006-2609
(602) 222-2234
(866) 985-7247
Mailing address
P.O. BOX 97876, PHOENIX, AZ 85060
(541) 296-2911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3267ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500664737
—
OR
Enumeration date
06/30/2008
Last updated
05/29/2024
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