Provider Demographics
NPI:1962101576
Name:SEGUIN, RICHARD LIONEL DUPONT III (LAC, DIPL AC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:LIONEL DUPONT
Last Name:SEGUIN
Suffix:III
Gender:M
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 811
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722-0811
Mailing Address - Country:US
Mailing Address - Phone:828-289-9684
Mailing Address - Fax:
Practice Address - Street 1:2186 LYNN RD STE A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-4524
Practice Address - Country:US
Practice Address - Phone:828-289-9684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2166171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist