Organization
LADDGAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LADD SHANER CRNA (PRESIDENT)
(440) 338-6955
Entity
Organization
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-1222
Mailing address
8766 GALLOWAY TRL, NOVELTY, OH 44072-9653
(440) 338-6955
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
042823
OH
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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