Individual
LARRY WAYNE RACHAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-9773
(318) 443-9799
Mailing address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-9773
(318) 443-9799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP003082
LA
Other
Enumeration date
06/12/2013
Last updated
03/27/2015
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