Individual provider · Type 1 NPI

Rebecca Lynn Ladyka, PA-C

Medical Physician Assistant · Putnam, CT

NPI number 1245530682 Active

Practice location

320 Pomfret St
Putnam, CT 06260-1836

Call (860) 382-5474 Map

Mailing address

PO Box 263
North Grosvenordale, CT 06255-0263

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2488 (CT)
Medical Physician Assistant Primary 363AM0700X002488 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1245530682

Rebecca Lynn Ladyka, PA-C's National Provider Identifier is 1245530682, issued on Nov 2, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Putnam, CT. The record was last updated on Jun 25, 2015.