Individual
CHAD RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
MOSS BLUFF CHIROPRACTIC CLINIC 119 TAHOE DR, LAKE CHARLES, LA 70611-5109
(337) 855-6306
(337) 855-7012
Mailing address
119 TAHOE DR, PO BOX 12571, LAKE CHARLES, LA 70611-5109
(337) 855-6306
(337) 855-7012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
954
LA
Other
Enumeration date
10/05/2006
Last updated
03/25/2024
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