Individual
CHRISTINE D RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(239) 467-8209
Mailing address
112 CREEK COVE LN, ELLENWOOD, GA 30294-2616
(407) 488-2772
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN065399
GA
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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