Provider Demographics
NPI:1265051148
Name:LECURU, RICHARD ANDREW (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:ANDREW
Last Name:LECURU
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 1:802 N RIVERSIDE RD STE 100B
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-2502
Mailing Address - Country:US
Mailing Address - Phone:816-271-8133
Mailing Address - Fax:816-271-8134
Practice Address - Street 1:802 N RIVERSIDE RD STE 100B
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-2502
Practice Address - Country:US
Practice Address - Phone:816-271-8133
Practice Address - Fax:816-271-8134
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240358612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry