Individual
LISA CATHLEEN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
149 HART ST, 82 MDG/MDOS, SHEPPARD AFB, TX 76311-3477
(940) 676-1832
(940) 676-0860
Mailing address
149 HART ST, 82 MDG/MDOS, SHEPPARD AFB, TX 76311-3477
(940) 676-1832
(940) 676-0860
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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