Individual
LAUREN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2337
(804) 442-3670
Mailing address
146 CHOPTANK RD, STAFFORD, VA 22556-1824
(540) 656-0687
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2020
Last updated
06/10/2021
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