Individual
LISA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
849 W 34TH ST, LOS ANGELES, CA 90089-0079
(213) 740-9355
Mailing address
4770 DON MIGUEL DR APT 16, LOS ANGELES, CA 90008-4146
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A063387
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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