Individual
CARRIE ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(317) 614-9850
(317) 614-9655
Mailing address
PO BOX 6069-DEPT 87, INDIANAPOLIS, IN 46206-6069
(317) 614-9850
(317) 614-9655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01075261A
IN
Other
Enumeration date
03/22/2012
Last updated
08/16/2016
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