Individual
RICARDO DE OLIVAES LACERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
148 CANNON ST, CHARLESTON, SC 29403-5717
(843) 324-9723
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
LL 29089
SC
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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