Individual
RICHMOND LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-7000
Mailing address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-7000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN60395365
WA
367500000X
Certified Registered Nurse Anesthetist
2900
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61658506
WA
Other
Enumeration date
05/29/2020
Last updated
04/01/2025
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