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Contact Information

LAURA R BADALUCCO, PA-C
1701 W BROADWAY
COUNCIL BLUFFS, IA51501-3822
 Phone: 712-256-5600
 Fax: 712-256-3440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LAURA R BADALUCCO · (Female)

NPI Number 1538518311
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/13/2016
Last updated 06/13/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 082615
Hospital affiliation(s)
  • MOLOKAI GENERAL HOSPITAL - (Critical Access)
    280 HOME OLU PLACE
    KAUNAKAKAI, HI 96748
  • STRAUB CLINIC AND HOSPITAL - (Acute Care)
    888 SO KING STREET
    HONOLULU, HI 96813
  • THE QUEENS MEDICAL CENTER - (Acute Care)
    1301 PUNCHBOWL ST
    HONOLULU, HI 96813
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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