Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD451529 | PA |
Y | 208200000X | Surgeon | MD451529 | PA |
Y | 208600000X | Surgeon | MD451529 | PA |
NPI | 1376736074 |
---|---|
Provider Name | Dr. Danielle E Ladie |
First Address | Harrisburg, PA 17104-1612 |
Second Address | Harrisburg, PA 17104-1619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2007 |
Last Update Date | 29/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102918445 | (05) | PA |