Individual
LILY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 CAMELBACK RD, MARSTONS MILLS, MA 02648-1029
(508) 360-5742
Mailing address
149 CAMELBACK RD, MARSTONS MILLS, MA 02648-1029
(508) 360-5742
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
637M80578
UNICARE GIC
MA
Enumeration date
11/07/2022
Last updated
11/07/2022
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