Provider Demographics
NPI:1013240159
Name:LADAWN M. TALBOTT, MD, APC
Entity Type:Organization
Organization Name:LADAWN M. TALBOTT, MD, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LADAWN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:TALBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-348-4790
Mailing Address - Street 1:601 RALSTON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4456
Mailing Address - Country:US
Mailing Address - Phone:775-348-4790
Mailing Address - Fax:775-348-5928
Practice Address - Street 1:601 RALSTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4456
Practice Address - Country:US
Practice Address - Phone:775-348-4790
Practice Address - Fax:775-348-5928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty