Individual
LAURA YVONNE LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 E BELMONT AVE, PHOENIX, AZ 85020-4162
(602) 944-1674
Mailing address
1149 E BELMONT AVE, PHOENIX, AZ 85020-4162
(602) 944-1674
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP007865
AZ
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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