| NPI | 1396727418 |
|---|---|
| Former Legal Business Name | RIC LR LLC |
| Entity Type | Organization |
| Authorized Contact | ALISA PETET-MCELFRESH Managing Member 016-646-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-12-11 |