Individual
BRETT LYNN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
79 BIRCH PARK DR, NEW LONDON, OH 44851-1103
(419) 202-9483
Mailing address
79 BIRCH PARK DR, NEW LONDON, OH 44851-1103
(419) 202-9483
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.136100-M-IV
OH
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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