Whalio Doctors

NPI 1023032950

Leesa Richardson, MD

Practitioner General Practice Physician Louisville, KY

Practice location

Address
3215 Westport Green Pl, Louisville, KY 40241-3135
Phone
(502) 412-1112
Fax
(502) 357-0606
Mailing address
PO Box 950166, Louisville, KY 40295-0166

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 22847 (KY)

Registry record

NPI
1023032950
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Jul 2006
Record last updated
25 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.