Individual
LISA JO RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2922 SUMMERFIELD DR, LOUISVILLE, KY 40220-2833
(502) 592-1132
Mailing address
2922 SUMMERFIELD DR, LOUISVILLE, KY 40220-2833
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1080551
KY
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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