Individual
MARK A LUDVIGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 SOUTH L STREET SUITE 101, TACOMA, WA 98405
(253) 383-5949
(253) 383-5953
Mailing address
419 SOUTH L STREET SUITE 101, TACOMA, WA 98405
(253) 383-5949
(253) 383-5953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00025659
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161768
L&I
WA
05
—
8128939
—
WA
01
—
LU5441
REGENCE
WA
Enumeration date
11/16/2006
Last updated
02/21/2008
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