Individual
DR. DEBORAH L RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1540 LAKE LANSING RD, STE 201, LANSING, MI 48912-3756
(517) 913-3900
(517) 913-3901
Mailing address
1540 LAKE LANSING RD, STE 201, LANSING, MI 48912-3756
(517) 913-3900
(517) 913-3901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101010801
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M21440003
MEDICARE ADVANTAGE
MI
01
—
1001922
MCLAREN HEALTH PLAN-MEDICAID
MI
01
—
110169069
RAILROAD MEDICARE
MI
01
—
1153302355
BCBS/BCN
MI
01
—
200000002615
PHP
MI
05
—
4079724
—
MI
01
—
4452199
AETNA
MI
05
—
4857079
—
MI
Enumeration date
06/14/2006
Last updated
10/08/2009
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