NPI 1023257615

Lisa Camille Pruitt Richards, PAC

Practitioner Physician Assistant Gastonia, NC

Practice location

Address: 2544 Court Dr STE a, Gastonia, NC 28054-3450
Phone: (704) 671-6400
Fax: (704) 671-6449
Mailing address: 4601 Park Rd Suite 300, Charlotte, NC 28209-3239

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-01622 (NC)

Other Physician Assistant providers in North Carolina →

Registry record

NPI: 1023257615
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2009
Record last updated: 21 Jul 2022

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.