Individual
MADELEINE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-6111
Mailing address
7440 RIENZI BLVD, BATON ROUGE, LA 70809-1166
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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