Provider Demographics
NPI:1205596921
Name:LAPRADE, MADELYN LINDSLEY (MM, MT-BC, NICU-MT)
Entity type:Individual
Prefix:
First Name:MADELYN
Middle Name:LINDSLEY
Last Name:LAPRADE
Suffix:
Gender:F
Credentials:MM, MT-BC, NICU-MT
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Other - Middle Name:
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Mailing Address - Street 1:7595 BAYMEADOWS CIR W APT 912
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-1849
Mailing Address - Country:US
Mailing Address - Phone:434-466-3505
Mailing Address - Fax:
Practice Address - Street 1:7595 BAYMEADOWS CIR W APT 912
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-1849
Practice Address - Country:US
Practice Address - Phone:434-466-3505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist