person
Ms. Leesa Richardson, MD
General Practice Physician in Louisville, Kentucky
NPI 1023032950

Leesa Richardson is a General Practice Physician based in Louisville, KY. Leesa Richardson practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Leesa Richardson is 1023032950 and holds a License No. 22847 (Kentucky).

The current practice location address for Leesa Richardson is 3215 Westport Green Pl, Louisville, KY and can be reached out via phone at 502-412-1112 and via fax at 502-357-0606.

Location: 3215 Westport Green Pl, Louisville, KY, 40295-0166
person
Provider Profile Details
NPI Number
1023032950
Provider Name
Leesa Richardson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3215 Westport Green Pl, Louisville, KY, 40295-0166
Phone Number
502-412-1112
Fax Number
502-357-0606
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64224876 05 KY
000000189835 01 KY BCBS
institution
Provider Business Practice Location Address Details
Address
3215 Westport Green Pl
City
State
Zip
40241-3135
Phone Number
502-412-1112
Fax Number
502-357-0606
person
Provider Business Mailing Address Details
Address
3215 Westport Green Pl
City
State
Zip
40241-3135
Phone Number
502-412-1112
Fax Number
502-357-0606
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
22847 (Kentucky)
Definition
Definition to come...
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