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Individual

RICHARD TIPERY AKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., D.D.S.

Contact information

Practice address
614 CONNELLS PARK LN, BATON ROUGE, LA 70806-6534
(225) 927-3463
(225) 927-8507
Mailing address
614 CONNELLS PARK LN, BATON ROUGE, LA 70806-6534
(225) 927-3463
(225) 927-8507

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
LA5084
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1850845
LA
Enumeration date
03/12/2008
Last updated
01/08/2015
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