Individual
LISA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29205 132ND AVE SE, AUBURN, WA 98092-2142
(253) 931-4960
Mailing address
19606 SE 265TH ST, COVINGTON, WA 98042-5076
(253) 638-8394
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00049462
WA
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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