Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 015412 | LA |
N | 2080P0204X | Pediatric Emergency Doctor | 015412 | LA |
NPI | 1023035532 |
---|---|
Provider Name | Dr. Richard Francis Lasseigne JR. |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Baton Rouge, LA 70809-3489 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 04/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01281314 | (05) | MS |
1332411 | (05) | LA |
F71002 | (02) |