Provider Demographics
NPI:1053638908
Name:LADUKE, RONALD PAUL JR
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:PAUL
Last Name:LADUKE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 MARATHON DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2605
Mailing Address - Country:US
Mailing Address - Phone:615-944-9022
Mailing Address - Fax:
Practice Address - Street 1:305 SEABOARD LN
Practice Address - Street 2:SUITE 318
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8287
Practice Address - Country:US
Practice Address - Phone:615-771-8790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist