Individual
LISA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 LONDON RD, SUITE 94, DULUTH, MN 55812-2144
(218) 428-2858
Mailing address
2002 LONDON RD, SUITE 94, DULUTH, MN 55812-2144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
759634
MN
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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