Provider Demographics
NPI:1336463819
Name:RIGUEUR, LUDWIGHT L (LMT)
Entity type:Individual
Prefix:MR
First Name:LUDWIGHT
Middle Name:L
Last Name:RIGUEUR
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 E PUTNAM AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2734
Mailing Address - Country:US
Mailing Address - Phone:203-273-1482
Mailing Address - Fax:
Practice Address - Street 1:555 SUMMER ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1413
Practice Address - Country:US
Practice Address - Phone:203-273-1482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004689172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist