Individual provider · Type 1 NPI
Ladonna L. Immken, MD
Clinical Genetics (M.D.) Physician · Austin, TX
NPI number
1053363531
Active
Practice location
6811 Austin Center Blvd, Suite #400
Austin, TX 78731-3146
Fax (512) 628-1840
Mailing address
1301 Barbara Jordan Blvd Ste 200
Austin, TX 78723-3078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Genetics (M.D.) Physician Primary | 207SG0201X | G4018 (TX) |
Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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About NPI 1053363531
Ladonna L. Immken, MD's National Provider Identifier is 1053363531, issued on May 16, 2006. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Austin, TX. The record was last updated on Jan 10, 2012.