Johanna Laidig
Anesthesiologist
1227 E Rusholme St
Davenport
, Iowa 52803-2459
Johanna Laidig
Anesthesiologist
1227 E Rusholme St
Davenport
, Iowa 52803-2459
(563) 324-8486
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Johanna Laidig
- Po Box 1245
- Bettendorf, IA
- Zip : 52722-0021
- Fax : (563) 324-8486
- Phone : (563) 324-8160
Second Address
- Johanna Laidig
- 1227 E Rusholme St
- Davenport, IA
- Zip : 52803-2459
- Phone : (563) 421-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 05308 | IA |
National Provider Identifier
| NPI | 1003201880 |
|---|---|
| Provider Name | Johanna Laidig |
| First Address | Bettendorf, IA 52722-0021 |
| Second Address | Davenport, IA 52803-2459 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2015 |
| Last Update Date | 13/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.