Individual
DR. BONNIE LOU LAUDENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
841 29TH ST, ASHLAND, KY 41101-3019
(606) 324-1170
(606) 324-1077
Mailing address
841 29TH ST, ASHLAND, KY 41101-3019
(606) 324-1170
(606) 324-1077
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35503
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000107798
BLUE CROSS BLUE SHIELD
KY
01
—
4037021
AETNA
KY
05
—
64007560
—
KY
Enumeration date
05/10/2006
Last updated
11/26/2014
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