Individual
LISA ANNETTE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23720 NE CANYON RD, BATTLE GROUND, WA 98604-9662
(360) 431-6533
Mailing address
23720 NE CANYON RD, BATTLE GROUND, WA 98604-9662
(360) 431-6533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60259345
WA
164W00000X
Licensed Practical Nurse
289828
NY
Other
Enumeration date
05/21/2008
Last updated
04/08/2021
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