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Individual

MS. LAURA R. RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2230 N EDWARDS AVE, MT PLEASANT, TX 75455-2036
(903) 572-8551
(903) 575-2630
Mailing address
2230 N EDWARDS AVE, MT PLEASANT, TX 75455-2036
(903) 572-8551
(903) 575-2630

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06980
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126777
CHIP PROVIDER NUMBER
TX
01
8W7386
BCBS PROVIDER NUMBER
TX
Enumeration date
02/13/2007
Last updated
07/09/2007
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