person
Richard Lee Shomo, PA
Medical Physician Assistant in New Orleans, Louisiana
NPI 1609853720

Richard Lee Shomo is a Medical Physician Assistant based in Slidell, LA and is specialized in Medical. Richard Lee Shomo practices in New Orleans, LA and has the professional credentials of PA. The NPI Number for Richard Lee Shomo is 1609853720 and holds a License No. PA04261 (Louisiana).

The current practice location address for Richard Lee Shomo is 2300 General Meyer Ave, New Orleans, LA and can be reached out via phone at 504-678-8148 and via fax at 504-678-1596.

Location: 2300 General Meyer Ave, New Orleans, LA, 70461-5368
person
Provider Profile Details
NPI Number
1609853720
Provider Name
Richard Lee Shomo
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2300 General Meyer Ave, New Orleans, LA, 70461-5368
Phone Number
504-678-8148
Fax Number
504-678-1596
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1037052 05 LA
1049767 01 NATIONAL CERTIFICATION
PA04261 01 TX LICENSE
PA200160 01 LA LICENSE
institution
Provider Business Practice Location Address Details
Address
2300 General Meyer Ave
City
State
Zip
70142-0001
Phone Number
504-678-8148
Fax Number
504-678-1596
person
Provider Business Mailing Address Details
Address
2300 General Meyer Ave
City
State
Zip
70142-0001
Phone Number
504-678-8148
Fax Number
504-678-1596
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA04261 (Texas)
Definition
Definition to come...
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