Provider Demographics
NPI:1356554380
Name:LUDINGTON, CARLYNE A (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:CARLYNE
Middle Name:A
Last Name:LUDINGTON
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 N DEL MAR AVE
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-2225
Mailing Address - Country:US
Mailing Address - Phone:626-851-5539
Mailing Address - Fax:626-851-5332
Practice Address - Street 1:1011 BALDWIN PARK BLVD
Practice Address - Street 2:GENETICS DEPT
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-5806
Practice Address - Country:US
Practice Address - Phone:626-851-5539
Practice Address - Fax:626-851-5332
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS