Individual
LORNA D RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 SW FAIR ISLE RD, PORT SAINT LUCIE, FL 34987-2094
(772) 626-1610
Mailing address
2632 SW FAIR ISLE RD, PORT SAINT LUCIE, FL 34987-2094
(772) 626-1610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN643862
FL
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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