Individual
DR. LISA ANNE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4699 HAMANN PKWY, WILLOUGHBY, OH 44094-5631
(440) 942-0860
(440) 951-1246
Mailing address
4699 HAMANN PKWY, WILLOUGHBY, OH 44094-5631
(440) 942-0860
(440) 951-1246
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18715
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0699856
—
OH
Enumeration date
05/03/2007
Last updated
07/08/2007
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