Individual
RON LUDWISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5380 S RAINBOW BLVD, SUITE 110, LAS VEGAS, NV 89118-1877
(702) 791-1326
(702) 921-6828
Mailing address
1712 WELLNESS WAY, LAS VEGAS, NV 89106
(702) 380-1712
(702) 852-0580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
438
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54321
—
NV
Enumeration date
07/17/2006
Last updated
03/17/2018
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