Organization
RICHARDSON CHIROPRACTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY M RICHARDSON D.C. (PRESIDENT)
(337) 234-4987
Entity
Organization
Contact information
Practice address
1304 BERTRAND DR STE F5, LAFAYETTE, LA 70506-9106
(373) 234-4987
(373) 234-5755
Mailing address
1304 BERTRAND DR STE F5, LAFAYETTE, LA 70506-9106
(337) 234-4987
(337) 234-5755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1136
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1536067
—
LA
Enumeration date
02/12/2007
Last updated
09/25/2023
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