Individual
DORA L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
24165 DETROIT RD, WESTLAKE, OH 44145-1516
(440) 250-3560
Mailing address
6984 LAFAYETTE RD, MEDINA, OH 44256-8580
(330) 723-4048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP04192
OH
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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