person
Mr. Richard R Lauderdale, PAC
Medical Physician Assistant in Oakes, North Dakota
NPI 1275563363

Richard R Lauderdale is a Medical Physician Assistant based in Oakes, ND and is specialized in Medical. Richard R Lauderdale practices in Oakes, ND and has the professional credentials of PAC. The NPI Number for Richard R Lauderdale is 1275563363 and holds a License No. PAC0054 (North Dakota).

The current practice location address for Richard R Lauderdale is 420 South 7Th Street, Oakes, ND and can be reached out via phone at 701-742-3267 and via fax at 701-742-3201. You can also correspond with Richard R Lauderdale through the mailing address at PO BOX 50, OAKES, ND - 58474-0050 (mailing address contact number: 701-742-3267).

Location: 420 South 7Th Street, Oakes, ND, 58474-0050
person
Provider Profile Details
NPI Number
1275563363
Provider Name
Richard R Lauderdale
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
420 South 7Th Street, Oakes, ND, 58474-0050
Phone Number
701-742-3267
Fax Number
701-742-3201
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CF8850 01 ND RAILROAD MEDICARE
18895 01 ND BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
420 South 7Th Street
City
State
Zip
58474-2024
Phone Number
701-742-3267
Fax Number
701-742-3201
person
Provider Business Mailing Address Details
Address
420 South 7Th Street
City
State
Zip
58474-2024
Phone Number
701-742-3267
Fax Number
701-742-3201
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAC0054 (North Dakota)
Definition
Definition to come...
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