Organization
ASHLAND WOMEN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE LOU LAUDENBACH M.D. (OWNER/PHYSICIAN)
(606) 324-1170
Entity
Organization
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
ANTHEM
KY
05
—
64007560
—
KY
Enumeration date
05/19/2006
Last updated
07/09/2008
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