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1023032950
LEESA RICHARDSON
LOUISVILLE, KY
NPI
1023032950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: KY 22847)
Enumeration Date
2006-07-26
Last Update Date
2012-10-25
Business Address
Ms. LEESA RICHARDSON MD
3215 WESTPORT GREEN PL
LOUISVILLE, KY 40241-3135
Phone number: 502-412-1112
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Mailing Address
Ms. LEESA RICHARDSON MD
PO BOX 950166
LOUISVILLE, KY 40295-0166
Phone number: 502-253-1035
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