Individual
DR. LARISSA JANETTE FORDYCE-RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 FORT PIERPONT DR STE 101, MORGANTOWN, WV 26508-1314
(304) 241-7150
(304) 599-8917
Mailing address
1300 FORT PIERPONT DR STE 101, MORGANTOWN, WV 26508-1314
(304) 241-7150
(304) 599-8917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23519
WV
207Q00000X
Family Medicine Physician
MD439510
PA
Other
Enumeration date
01/07/2008
Last updated
12/01/2020
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