Individual
LANIQUA Z. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7556 TEAGUE RD, HANOVER, MD 21076-1213
(410) 595-0175
Mailing address
7556 TEAGUE RD, HANOVER, MD 21076-1213
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R195789
MD
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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