Individual
LORI RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4879 SAINT ANDREWS DR, GROVE CITY, OH 43123-8198
(614) 306-6920
Mailing address
4879 SAINT ANDREWS DR, GROVE CITY, OH 43123-8198
(614) 306-6920
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910001184009
DODD
OH
Enumeration date
09/13/2020
Last updated
09/13/2020
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