Individual
LISA MARIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2100 W CENTRAL AVE, TOLEDO, OH 43606-3800
(419) 291-6767
Mailing address
2100 W CENTRAL AVE, TOLEDO, OH 43606-3800
(419) 291-6767
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
4704263518
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.16308-NP
OH
Other
Enumeration date
08/07/2014
Last updated
11/03/2023
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