Individual provider · Type 1 NPI

Michael Louis Lada, NCCPA #1054881

Medical Physician Assistant · Fort Bragg, NC

NPI number 1689759466 Active

Practice location

2817 Reilly Road Mcxc-Cod Credentials, Womack Army Medical Center
Fort Bragg, NC 28310-0001

Fax (910) 907-6069

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1689759466

Michael Louis Lada, NCCPA #1054881's National Provider Identifier is 1689759466, issued on Oct 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Bragg, NC. The record was last updated on Jul 8, 2007.