Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 311951 | LA |
NPI | 1013354570 |
---|---|
Provider Name | Dr. Alyce Michelle Richard |
First Address | New Orleans, LA 70121-2429 |
Second Address | Luling, LA 70070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2013 |
Last Update Date | 07/10/2019 |