Norbert Lance Richardson MD

NPI 1093793929 - Specialist - 174400000X

NPI Details
NPI 1093793929
Gender Male
Enumeration Date 12/30/2005
Last Updated 10/11/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
SAINT LOUIS MO, 63118-4601, US
Phone (314) 865-7000
Fax (314) 544-8305
Business Location
PO BOX 116757
ATLANTA GA, 30368-6757, US
Phone (618) 244-3322
Taxonomy Code 174400000X
License State Missouri
License Number 105672
Remove 1093793929 NPI Number

According to our database, Dr. Norbert Lance Richardson MD NPI is 1093793929, taxonomy code is 174400000X and license number is 105672, license state is located at Missouri. Norbert Lance Richardson MD physically located at 3933 S Broadway, Saint Louis MO, 63118-4601. NPI Number Norbert Lance Richardson MD has the Individual type.

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1093793929 NPI number is provided on an as is basis without warranty of any kind. 1093793929 is maintained by the National Plan & Provider Enumeration System. The contents of Norbert Lance Richardson MD are for informational purposes only.