Individual
LAUREN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6411 HIXSON PLACE, HIXSON, TN 37343
(423) 352-9106
(423) 352-9107
Mailing address
6411 HIXSON PLACE, HIXSON, TN 37343
(423) 352-9106
(423) 352-9107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4029
TN
363AS0400X
Surgical Physician Assistant
10001978A
IN
Other
Enumeration date
12/30/2014
Last updated
12/07/2021
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