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Chad Richard, D.C.

Chiropractor in Lake Charles, LA. Individual provider (NPI-1).

NPI number1720174170
StatusActive
Last updated in NPPESMar 25, 2024

Details

NPI
1720174170
Entity type
Individual (NPI-1)
Name
Chad Richard
Credential
D.C.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 5, 2006
Certification date
Mar 25, 2024
Last updated
Mar 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor954LAYes

Practice location

Moss Bluff Chiropractic Clinic 119 Tahoe Dr
Lake Charles, LA 70611-5109

Phone 337-855-6306 · Fax 337-855-7012

Mailing address

119 Tahoe Dr
Po Box 12571
Lake Charles, LA 70611-5109

Phone 337-855-6306 · Fax 337-855-7012

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