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Individual

LISA E RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
700 W 5TH ST, CLARE, MI 48617-9414
(989) 386-9911
(989) 386-9913
Mailing address
700 W 5TH ST, CLARE, MI 48617-9414
(989) 386-9911
(989) 386-9913

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004348
MI

Other

Enumeration date
12/20/2005
Last updated
09/20/2012
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