Individual
DR. RICHARD LAUDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9900 LINCOLN STREET, 2ND FLOOR, ATTN: CREDENTIALS OFFICE, TACOMA, WA 98327
(253) 968-4079
(253) 968-5916
Mailing address
9900 LINCOLN STREET, 2ND FLOOR, ATTN: CREDENTIALS OFFICE, TACOMA, WA 98327
(253) 968-4079
(253) 968-5916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000010113
TN
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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