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RICHARD LEE PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1516 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3796
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08533
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01288254
MS
05
2413724
LA
Enumeration date
12/11/2015
Last updated
06/28/2016
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