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Individual

RICHARD MCLAVY CAVELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4864 JACKSON STREET, MONROE, LA 71202-6400
(318) 330-7650
(318) 330-7648
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
(318) 330-7648

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.013766
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1313858
LA
Enumeration date
08/11/2006
Last updated
08/23/2023
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