LEROY JOSEPH RICHARD SR

LAFAYETTE, LA
NPI1750422440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  A10186LA)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
Mr. LEROY JOSEPH RICHARD SR P.A.
3305 W PINHOOK RD
LAFAYETTE, LA 70508-3506
Phone number: 337-233-4480
Mailing Address
Mr. LEROY JOSEPH RICHARD SR P.A.
134 CRESCENT LN
SUNSET, LA 70584-6115
Phone number: 337-662-3063
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