Individual
DR. LIONEL J RICHARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4432 CONLIN ST, 2-A, METAIRIE, LA 70006-2146
(504) 885-6677
(504) 885-6667
Mailing address
4432 CONLIN ST, 2-A, METAIRIE, LA 70006-2146
(504) 885-6677
(504) 885-6667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4105
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841056
—
LA
Enumeration date
05/01/2007
Last updated
07/08/2007
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