Individual
MR. RICHARD WARREN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 LIBERTY AVE, LAFAYETTE, LA 70508-6822
(337) 470-3172
(337) 470-5417
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-3172
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1508365
LA
208000000X
Pediatrics Physician
Primary
201835
LA
2080S0010X
Pediatric Sports Medicine Physician
201835
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508365
—
LA
Enumeration date
02/19/2008
Last updated
06/28/2022
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