Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | PA |
NPI | 1144510454 |
---|---|
Provider Name | Dr. Diana S Ludwig |
First Address | Hopeland, PA 17533-0124 |
Second Address | Stevens, PA 17578-9614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2011 |
Last Update Date | 08/04/2011 |