person
Richard A Lauderdale JR., PA
Medical Physician Assistant in Montgomery, Alabama
NPI 1073564670

Richard A Lauderdale JR. is a Medical Physician Assistant based in Montgomery, AL and is specialized in Medical. Richard A Lauderdale JR. practices in Montgomery, AL and has the professional credentials of PA. The NPI Number for Richard A Lauderdale JR. is 1073564670 and holds a License No. PA151 (Alabama).

The current practice location address for Richard A Lauderdale JR. is 400 Taylor Rd, Montgomery, AL and can be reached out via phone at 334-272-1050 and via fax at 818-587-2493. You can also correspond with Richard A Lauderdale JR. through the mailing address at 301 BROWN SPRINGS RD, MONTGOMERY, AL - 36117-7005 (mailing address contact number: 334-273-4508).

Location: 400 Taylor Rd, Montgomery, AL, 36117-7005
person
Provider Profile Details
NPI Number
1073564670
Provider Name
Richard A Lauderdale JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
400 Taylor Rd, Montgomery, AL, 36117-7005
Phone Number
334-272-1050
Fax Number
818-587-2493
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051556080 05 AL
institution
Provider Business Practice Location Address Details
Address
400 Taylor Rd
City
State
Zip
36117-3512
Phone Number
334-272-1050
Fax Number
818-587-2493
person
Provider Business Mailing Address Details
Address
400 Taylor Rd
City
State
Zip
36117-3512
Phone Number
334-272-1050
Fax Number
818-587-2493
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA151 (Alabama)
Definition
Definition to come...
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