MEDICARE: DR. CHRISTOPHER LA TOURETTE LA RICHE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME110917	FL

General Provider Information

NPI Number	:	1487846192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LA TOURETTE LA RICHE M.D.

Provider Business Mailing Address
First Line	:	112 N OAK ST
Second Line	:	SUITE 108
City	:	LANTANA
State	:	FL
Zip	:	33462-3260
Country	:	US
Telephone Number	:	561-337-2568
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 N OAK ST
Second Line	:	SUITE 108
City	:	LANTANA
State	:	FL
Zip	:	33462-3260
Country	:	US
Telephone Number	:	561-337-2568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	06/06/2015

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