Individual provider · Type 1 NPI

Justin Ladue, LPN

Licensed Practical Nurse · Vestal, NY

NPI number 1013897784 Active

Practice location

3129 Burris Rd Apt 4
Vestal, NY 13850-4800

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X318960 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1013897784

Justin Ladue, LPN's National Provider Identifier is 1013897784, issued on Sep 4, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Vestal, NY. The record was last updated on Sep 4, 2025.