Individual
DR. LEONARD A RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0057722
MD
207R00000X
Internal Medicine Physician
Primary
D0057722
MD
208M00000X
Hospitalist Physician
D0057722
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10242541
AMERIGROUP
—
05
—
693604100
—
MD
01
—
8113427
CIGNA
—
01
—
G501-0001
CAREFIRST
MD
Enumeration date
02/12/2006
Last updated
07/07/2024
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