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Individual

RICHELLE CURRIER LEGNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 646-0691
(985) 646-0750
Mailing address
PO BOX 2710, SLIDELL, LA 70459-2710
(985) 646-0691
(985) 646-0750

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13550R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00122443
MS
05
1430862
LA
Enumeration date
02/27/2006
Last updated
07/08/2007
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