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Individual

LIONEL D RICHARDS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2300 S CONGRESS AVE STE 102, BOYNTON BEACH, FL 33426-7400
(561) 742-1944
(561) 742-0525
Mailing address
2300 S CONGRESS AVE STE 102, BOYNTON BEACH, FL 33426-7400
(561) 742-1944
(561) 742-0525

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1247
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084843300
FL
Enumeration date
02/23/2007
Last updated
12/13/2013
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