Individual provider · Type 1 NPI

Richard A. Lauderdale Jr., PA

Medical Physician Assistant · Montgomery, AL

NPI number 1073564670 Active

Practice location

400 Taylor Rd
Montgomery, AL 36117-3512

Fax (818) 587-2493

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA151 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1073564670

Richard A. Lauderdale Jr., PA's National Provider Identifier is 1073564670, issued on May 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Montgomery, AL. The record was last updated on Jul 13, 2026.