Individual
RICHARD FREDERICK ZEGARRA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 532-2700
(812) 537-1507
Mailing address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 532-2700
(812) 537-1507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01047382A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076354
ANTHEM
—
05
—
0101621
—
OH
05
—
64343825
—
KY
01
—
930075300
MEDICARE RAILROAD
—
Enumeration date
08/25/2006
Last updated
05/21/2024
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