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Individual
LORI M RICHARDSON
Active
Individual
LORI M RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6607106
GHI
—
01
—
7559289
AETNA
—
01
—
Y916B
BLUE SHIELD
FL
Enumeration date
10/10/2007
Last updated
01/03/2014
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