Individual
LYNETTE J. RICHARDSON
Active
Individual
LYNETTE J. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123553
CO
367500000X
Certified Registered Nurse Anesthetist
CR000396
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057H0LU
BLUE CROSS MN
MN
05
—
07532229
—
CO
01
—
4994175
BLUE CROSS SD
SD
05
—
5752110
—
SD
05
—
720078
—
IA
Enumeration date
07/26/2006
Last updated
04/04/2008
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