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NPI Code Detail

MEDICARE: DR. CHARLOTTE O. LADD M.D., PH.D.

MEDICARE: DR. CHARLOTTE O. LADD M.D., PH.D.
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
12084P0800XPsychiatry Physician48134WI

General Provider Information

NPI Number : 1225087091
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLOTTE O. LADD M.D., PH.D.
Provider Business Mailing Address
First Line : 2229 FOX AVE
Second Line :
City : MADISON
State : WI
Zip : 53711-1922
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6001 RESEARCH PARK BLVD
Second Line :
City : MADISON
State : WI
Zip : 53719-1176
Country : US
Telephone Number : 608-263-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 12/08/2025

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