Richardson, Lisa S

Richardson, Lisa S is an individual health care provider with primary practice located at 743 Main St , Danville VA 24541-1803. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Richardson, Lisa S can be contacted via phone (434) 799-6288.

Contact Information

Primary practice address
743 Main St Danville VA 24541-1803
Phone: (434) 799-6288
Fax: (434) 797-3685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001551 Virginia

Profile Details

NPI number 1215353420
LBN Legal business name Richardson, Lisa S
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2014
Last updated Feb 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215353420 NPPES
Virginia MEDICAID 1215353420

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