Individual
LAURA ELIZABETH RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1205 RIVER AVE, 1ST FLOOR, WILLIAMSPORT, PA 17701-3724
(570) 323-5991
(570) 323-6578
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055897
PA
Other
Enumeration date
10/23/2012
Last updated
03/28/2016
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