Ludlow, Stacey L.

Ludlow, Stacey L. is an sole proprietor health care provider with primary practice located at 66 Springer Dr Ste 315 , Highlands Ranch CO 80129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ludlow, Stacey L. can be contacted via phone (720) 651-9296.

Contact Information

Primary practice address
66 Springer Dr Ste 315 Highlands Ranch CO 80129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20434 Oklahoma
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DR.0059550 Colorado

Profile Details

NPI number 1205997590
LBN Legal business name Ludlow, Stacey L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 23rd, 2018 - about 6 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 1205997590 NPPES
Oklahoma MEDICAID 200094880A

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