Individual
LISA CAROLYN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4770 BUFORD HWY, MAIL STOP K-55, ATLANTA, GA 30341-3717
(770) 488-4351
Mailing address
4770 BUFORD HWY, MAIL STOP K-55, ATLANTA, GA 30341-3717
(770) 488-4351
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
044991
GA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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