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Organization

ST, LANDRY RADIOLOGY ASSOCIATES, APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD LASTRAPES (PRESIDENT)
(337) 942-6883
Entity
Organization

Contact information

Practice address
539 E PRUDHOMME ST, OPELOUSAS, LA 70570-6499
(337) 942-6883
Mailing address
539 E PRUDHOMME ST, OPELOUSAS, LA 70570-6499
(337) 942-6883

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1794228
LA
Enumeration date
05/24/2006
Last updated
11/28/2007
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