Richard, Stephanie Sara

Richard, Stephanie Sara is an individual health care provider with primary practice located at 830 W Bayou Pines Dr , Lake Charles LA 70601-7097. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Richard, Stephanie Sara can be contacted via phone (337) 436-9557.

Contact Information

Primary practice address
830 W Bayou Pines Dr Lake Charles LA 70601-7097
Fax: (337) 312-1311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD.026043 Louisiana

Profile Details

NPI number 1376582676
LBN Legal business name Richard, Stephanie Sara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Aug 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376582676 NPPES
Texas MEDICAID 209946701
Texas MEDICAID 1056081

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