Lisa B Richardson, FAMILY NURSE PRACTIT | |
55 Joy Dr, Loudonville, NY 12211-1539 | |
(518) 469-7588 | |
Not Available |
Full Name | Lisa B Richardson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 55 Joy Dr, Loudonville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1427072750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | F332977-1 (New York) | Primary |
Entity Name | Matrix Medical Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639433063 PECOS PAC ID: 8527341262 Enrollment ID: O20170203001185 |
Mailing Address | Practice Location Address |
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Lisa B Richardson, FAMILY NURSE PRACTIT 55 Joy Dr, Loudonville, NY 12211-1539 Ph: () - | Lisa B Richardson, FAMILY NURSE PRACTIT 55 Joy Dr, Loudonville, NY 12211-1539 Ph: (518) 469-7588 |
Amy M Ovitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 407 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-435-1300 | |
Ms. Carrie L Hogan, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Loudon Rd, Siena College Health Service, Loudonville, NY 12211 Phone: 518-783-2554 Fax: 518-783-2961 | |
Mrs. Christine Marie Cunningham, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 Loudon Rd, Loudonville, NY 12211 Phone: 518-783-2554 Fax: 518-783-2961 | |
Ms. Grace Coons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 399 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-434-9759 | |
Claudianus H Bourne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 Albany Shaker Rd Ste 100, Loudonville, NY 12211 Phone: 518-435-1300 Fax: 518-435-1397 |