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Individual

DR. LANCE GARRETT RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
601 HIGHWAY 71 N STE W, MENA, AR 71953-4394
(479) 385-9693
(844) 222-7880
Mailing address
PO BOX 1224, MENA, AR 71953-1224
(479) 385-9693
(844) 222-7880

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16049
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
233571718
AR
Enumeration date
05/25/2011
Last updated
10/05/2022
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