Organization
RANDALL P LEDUC, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL P LEDUC MD (PRESIDENT)
(812) 432-3600
Entity
Organization
Contact information
Practice address
12827 LENOVER ST, DILLSBORO, IN 47018-0095
(812) 432-3600
(812) 432-3702
Mailing address
PO BOX 95, 12827 LENOVER ST, DILLSBORO, IN 47018-0095
(812) 432-3600
(812) 432-3702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50003548A
IN
207R00000X
Internal Medicine Physician
Primary
50003548A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200279400A
—
IN
Enumeration date
04/24/2007
Last updated
05/19/2008
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