Individual
MR. RICKY RANDALL LAPRADD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
2102 GRANDIN RD SW, ROANOKE, VA 24015-3528
(540) 853-2158
Mailing address
5721 SIERRA DR, ROANOKE, VA 24012-1111
(540) 793-4739
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0126000966
VA
Other
Enumeration date
03/01/2006
Last updated
06/13/2008
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