Individual
DR. NATHANAEL MARK RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
107 S COLLEGE RD, LAFAYETTE, LA 70503-3225
(337) 234-4987
(337) 237-4515
Mailing address
107 S COLLEGE RD, LAFAYETTE, LA 70503-3225
(337) 234-4987
(337) 237-4515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1529
LA
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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