Provider Demographics
NPI:1295707024
Name:TREMAINE, LADD ALEX (MD)
Entity type:Individual
Prefix:
First Name:LADD
Middle Name:ALEX
Last Name:TREMAINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2219 FORREST ST
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-9781
Mailing Address - Country:US
Mailing Address - Phone:253-964-1690
Mailing Address - Fax:253-968-1548
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER
Practice Address - Street 2:FITZSIMMONS DRIVE
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-1731
Practice Address - Fax:253-968-1084
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01047036A207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology