| NPI | 1538466834 |
|---|---|
| Professional Name | LISA JEAN LADENBURGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical (Licence: SD 1023-9814-st) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |