| Mr Richard R Lauderdale, PAC | |
|
420 South 7th Street, Oakes, ND 58474-2024 | |
| (701) 742-3267 | |
| (701) 742-3201 |
| Full Name | Mr Richard R Lauderdale |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 420 South 7th Street, Oakes, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275563363 | NPI | - | NPPES |
| CF8850 | Other | ND | RAILROAD MEDICARE |
| 18895 | Other | ND | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PAC0054 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard R Lauderdale, PAC Po Box 50, Oakes, ND 58474-0050 Ph: (701) 742-3267 | Mr Richard R Lauderdale, PAC 420 South 7th Street, Oakes, ND 58474-2024 Ph: (701) 742-3267 |
Brenda Reich, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 South 7th Street, Oakes, ND 58474 Phone: 701-742-3267 Fax: 701-742-3201 | |
Rose Stahlecker, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 South 7th Street, Oakes, ND 58474 Phone: 701-742-3267 Fax: 701-742-3201 | |
Loretta Pfeifer, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 South 7th Street, Oakes, ND 58474 Phone: 701-742-3267 Fax: 701-742-3201 | |
Jeanne Hoistad, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 South7th Street, Oakes, ND 58474 Phone: 701-742-3267 Fax: 701-742-3201 | |
Vicki Hack, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 South 7th Street, Oakes, ND 58474 Phone: 701-742-3267 Fax: 701-742-3201 | |
Kathleen Lee Siedschlag, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 S 7th St, Oakes, ND 58474 Phone: 701-742-3267 Fax: 701-742-3201 |