Provider Demographics
NPI:1932243458
Name:LAUDE, RICHARD HORTON (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HORTON
Last Name:LAUDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4370 ALPINE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PORTOLA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94028-7952
Mailing Address - Country:US
Mailing Address - Phone:650-851-0226
Mailing Address - Fax:650-329-1954
Practice Address - Street 1:4370 ALPINE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PORTOLA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94028-7952
Practice Address - Country:US
Practice Address - Phone:650-851-0226
Practice Address - Fax:650-329-1954
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG315592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF09235Medicare UPIN