NPI 1053363531

Ladonna L Immken, MD

Practitioner Clinical Genetics (M.D.) Physician Austin, TX

Practice location

Address: 6811 Austin Center Blvd Suite #400, Austin, TX 78731-3146
Phone: (512) 628-1840
Fax: (512) 628-1840
Mailing address: 1301 Barbara Jordan Blvd STE 200, Austin, TX 78723-3078

Registered specialties

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence G4018 (TX)

Other Medical Genetics providers in Texas →

Registry record

NPI: 1053363531
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2006
Record last updated: 10 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.