Individual
LEA ANNA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
600 NW 23RD ST, SUITE 108, OKLAHOMA CITY, OK 73103-1469
(405) 601-9610
Mailing address
600 NW 23RD ST, SUITE 108, OKLAHOMA CITY, OK 73103-1469
(405) 601-9610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R60591
OK
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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