Leroy Joseph Richard Sr P.A.

NPI 1750422440 - Physician Assistant - 363A00000X

NPI Details
NPI 1750422440
Gender Male
Enumeration Date 02/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3305 W PINHOOK RD
LAFAYETTE LA, 70508-3506, US
Phone (337) 233-4480
Fax (337) 233-6334
Business Location
134 CRESCENT LN
SUNSET LA, 70584-6115, US
Phone (337) 662-3063
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Louisiana
License Number A10186LA
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According to our database, Mr. Leroy Joseph Richard Sr P.A. NPI is 1750422440, taxonomy code is 363A00000X and license number is A10186LA, license state is located at Louisiana. Leroy Joseph Richard Sr P.A. physically located at 3305 W Pinhook Rd, Lafayette LA, 70508-3506. NPI Number Leroy Joseph Richard Sr P.A. has the Individual type.

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1750422440 NPI number is provided on an as is basis without warranty of any kind. 1750422440 is maintained by the National Plan & Provider Enumeration System. The contents of Leroy Joseph Richard Sr P.A. are for informational purposes only.