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Individual

DR. DIEDRA LYNN RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O D

Contact information

Practice address
5128 LAPALCO BLVD, STE H, MARRERO, LA 70072-4249
(504) 347-9988
(504) 347-5003
Mailing address
2551 SAINT NICK DR, NEW ORLEANS, LA 70131-5133
(504) 347-9988
(504) 347-5003

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1091-296T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1976261
LA
Enumeration date
11/03/2006
Last updated
07/08/2007
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