NPI 1073564670

Richard a Lauderdale, PA

Practitioner Medical Physician Assistant Montgomery, AL

Practice location

Address: 400 Taylor Rd, Montgomery, AL 36117-3512
Phone: (334) 272-1050
Fax: (818) 587-2493
Mailing address: 301 Brown Springs Rd, Montgomery, AL 36117-7005

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA151 (AL)

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Registry record

NPI: 1073564670
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.