MEDICARE: DR. RONALD E LUDROSKY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	2413	OH

General Provider Information

NPI Number	:	1093855496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD E LUDROSKY DC

Provider Business Mailing Address
First Line	:	12610 STATE RD
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3208
Country	:	US
Telephone Number	:	440-230-4200
Fax Number	:	440-230-2750

Provider Business Practice Location Address
First Line	:	12610 STATE RD
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3208
Country	:	US
Telephone Number	:	440-230-4200
Fax Number	:	440-230-2750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	03/02/2023

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Directions to “ DR. RONALD E LUDROSKY DC” Practice Location

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