Individual
RICHARD SUPPLE LABORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
(337) 478-5644
Mailing address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21104
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050031853
RAILROAD MEDICARE PIN
LA
05
—
1992879
—
LA
Enumeration date
02/14/2006
Last updated
10/12/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us