Individual
CALLY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(484) 526-5585
Mailing address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(272) 639-5011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2021
Last updated
06/12/2024
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