Individual
MRS. LAUREN MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 N ROBINSON STREET, #400, RICHMOND, VA 23220
(804) 822-3480
(804) 822-3484
Mailing address
1800 GLENSIDE DR, STE 105, RICHMOND, VA 23226-3769
(804) 288-2762
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00110003666
VA
363AM0700X
Medical Physician Assistant
0110003666
VA
Other
Enumeration date
11/07/2011
Last updated
04/28/2016
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