Provider Demographics
NPI:1467531806
Name:LAPLANTE, RICHARD STEPHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:STEPHAN
Last Name:LAPLANTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2151 PEACHFORD RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6534
Mailing Address - Country:US
Mailing Address - Phone:770-455-3200
Mailing Address - Fax:770-454-2362
Practice Address - Street 1:2151 PEACHFORD RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6534
Practice Address - Country:US
Practice Address - Phone:770-455-3200
Practice Address - Fax:770-454-2362
Is Sole Proprietor?:No
Enumeration Date:2006-11-05
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0332522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA26BDHNCMedicare ID - Type UnspecifiedMEDICARE
GAE59030Medicare UPIN