Richardson, Leesa

Richardson, Leesa is an individual health care provider with primary practice located at 3215 Westport Green Pl , Louisville KY 40241-3135. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Richardson, Leesa can be contacted via phone (502) 412-1112.

Contact Information

Primary practice address
3215 Westport Green Pl Louisville KY 40241-3135
Phone: (502) 412-1112
Fax: (502) 357-0606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 22847 Kentucky

Profile Details

NPI number 1023032950
LBN Legal business name Richardson, Leesa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 25th, 2012 - about 14 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 1023032950 NPPES
Kentucky MEDICAID 64224876
Kentucky Other 000000189835

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