Ludington, Lance L.

Ludington, Lance L. is an sole proprietor health care provider with primary practice located at 3 Marcela Dr , Willits CA 95490. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ludington, Lance L. can be contacted via phone (707) 459-6115.

Contact Information

Primary practice address
3 Marcela Dr Willits CA 95490
Phone: (707) 459-6115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G63915 California
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X G63915 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G63915 California

Profile Details

NPI number 1295813889
LBN Legal business name Ludington, Lance L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Feb 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295813889 NPPES
California MEDICAID 00G639151

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