Individual
DR. TRACY M RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1304 BERTRAND DR STE F5, LAFAYETTE, LA 70506-9106
(337) 234-4987
(337) 234-5755
Mailing address
1304 BERTRAND DR STE F5, LAFAYETTE, LA 70506-9106
(337) 234-4987
(337) 234-5755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1136
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1536067
—
LA
Enumeration date
03/17/2006
Last updated
09/25/2023
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