Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 305891 | LA |
NPI | 1043672934 |
---|---|
Provider Name | Alexander Paul Richerand |
First Address | Covington, LA 70433-8261 |
Second Address | Covington, LA 70433-8261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2016 |
Last Update Date | 14/11/2021 |