Lawrence Thomas Ludwig, DDS
Individual provider Active NPI General Practice Dentistry · Holloman Afb, NM
NPI 1972653293 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972653293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3196-015 (WI)
- Practice address
- 320 1St St, BLDG 20
Holloman Afb, NM 88330 - Phone
- (505) 572-3742
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3196-015 | WI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3196-015 | WI | Yes |
Addresses
Primary practice location
320 1St St, BLDG 20
Holloman Afb, NM 88330
Mailing address
320 1St St, BLDG 20
Holloman Afb, NM 88330
Phone (505) 572-3742
Other providers in Holloman Afb, NM
- Bryan Thomas Landro
- Mark Leon
- Guyu Liu
- Helen Liu
- Cynthia Ann Lockrow
- Jerome Carlos Malimban
- Nahomi Naxely Martinez
- Joseph Marut
- Cathleen Adiva Mauricette
- Jana Joel McBurney
All providers in Holloman Afb, NM · General Practice Dentistry in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.