Individual
DR. LYNN AMY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1785 E SOCIAL ROW RD, DAYTON, OH 45458-4728
(937) 885-0627
Mailing address
1785 E SOCIAL ROW RD, DAYTON, OH 45458-4728
(937) 885-0627
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34.007002
OH
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
34-007002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093366
—
OH
Enumeration date
09/16/2010
Last updated
01/07/2016
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