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Individual
MR. RICHARD PAUL LAKSONEN JR.
Active
Individual
MR. RICHARD PAUL LAKSONEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704271458
MI
363L00000X
Nurse Practitioner
Primary
R39904
ND
363LF0000X
Family Nurse Practitioner
A148655
IA
363LF0000X
Family Nurse Practitioner
R39904
ND
Other
Enumeration date
05/09/2014
Last updated
11/25/2019
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