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1073564670
RICHARD A LAUDERDALE
MONTGOMERY, AL
NPI
1073564670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AL PA151)
Enumeration Date
2006-05-16
Last Update Date
2015-12-28
Business Address
-- RICHARD A LAUDERDALE PA
400 TAYLOR RD
MONTGOMERY, AL 36117-3512
Phone number: 334-272-1050
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Mailing Address
-- RICHARD A LAUDERDALE PA
301 BROWN SPRINGS RD
MONTGOMERY, AL 36117-7005
Phone number: 334-273-4508
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