Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 35.082911 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 41745 | KY |
NPI | 1659419729 |
---|---|
Provider Name | Laura Patricia Stadler |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 19/02/2009 |