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Individual

DR. RICHARD GERARD PALECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
230 ROBERTS DR, SUITE G, NEW ROADS, LA 70760-2661
(225) 638-6640
(225) 618-0863
Mailing address
PO BOX 575, LIVONIA, LA 70755-0575
(225) 718-5314
(225) 618-0863

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD165R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1668842
LA
01
480026913
RR MCR
Enumeration date
10/12/2006
Last updated
08/22/2011
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