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General NPI Number Information
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NPI Number | 1689673329
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Entity Type | Individual
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Provider Name | STEPHANIE E. LADSON-WOFFORD M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 07/28/2017
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Provider Practice Location Address
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Address Line | 595 COPELAND MILL RD SUITE 2D
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City | WESTERVILLE
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State | OH
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Zip | 43081-8908
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Country | US
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Telephone | 614-823-8500
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Fax | 614-823-8501
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Provider Business Mailing Address
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Address Line | 1272 W MAIN ST DOCTORS PARK BLDG 5
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City | NEWARK
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State | OH
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Zip | 43055-2004
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Country | US
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Telephone | 740-348-0003
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35057852
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License Number State | OH
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