Individual
LISA M RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 BRENDON WAY STE 100, ZIONSVILLE, IN 46077-1955
(317) 957-9150
(317) 957-9965
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
(317) 621-7584
(317) 957-2705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002515A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228239
BLUE CROSS BLUE SHIELD
IN
05
—
200414080
—
IN
01
—
P01456957
RAIL ROAD PTAN
IN
Enumeration date
06/23/2005
Last updated
07/28/2025
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