Individual
MRS. LAUREN MARIE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-1440
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601005917
MI
363AS0400X
Surgical Physician Assistant
Primary
085004065
IL
Other
Enumeration date
10/26/2010
Last updated
03/23/2026
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