Provider Demographics
NPI:1528147477
Name:TALBOTT, LADAWN MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:LADAWN
Middle Name:MICHELLE
Last Name:TALBOTT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5060 MEADOWOOD MALL CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-6587
Mailing Address - Country:US
Mailing Address - Phone:775-348-4790
Mailing Address - Fax:775-348-5928
Practice Address - Street 1:5060 MEADOWOOD MALL CIR STE 200
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6587
Practice Address - Country:US
Practice Address - Phone:775-348-4790
Practice Address - Fax:775-348-5928
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV12650208200000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery