Individual
DR. LORI RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
101 BOSTON POST RD, MADISON, CT 06443-2167
(203) 245-3245
Mailing address
101 BOSTON POST RD, MADISON, CT 06443-2167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00720
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000720CT03
BCBS OF CT
CT
01
—
CT00720
LANDMARK/HEALTHNET
CT
Enumeration date
02/05/2007
Last updated
03/10/2008
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