Provider Demographics
NPI:1659419729
Name:STADLER, LAURA PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:PATRICIA
Last Name:STADLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 ROSE ST
Mailing Address - Street 2:MN104E
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-257-7704
Mailing Address - Fax:859-257-5549
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:MN104E
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-257-7704
Practice Address - Fax:859-257-5549
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0829112080P0208X
KY417452080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases