Individual
DR. RICHARD G. LASTRAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(281) 766-0959
Mailing address
193 DOCTOR CHARLIE DR, OPELOUSAS, LA 70570-6811
(337) 948-7796
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21614
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533491
—
LA
01
—
300086897
RAILROAD RETIREMENT MEDIC
LA
Enumeration date
08/25/2005
Last updated
01/09/2025
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