Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY RICHARDSON
ActiveDental Hygienist · LEWISTON, ID
Registration Details
- NPI Number
- 1700468824
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2021 (4.9937177881436 yrs)
- Last Updated
- Apr 27, 2021
- License
-
DH-3647-RST (ID)
Practice Information
- Address
-
3326 4TH ST STE 1LEWISTON, ID, 835014455Browse ID providers · Browse ZIP 83501
- Phone
- 2087462646
- Primary Specialty
-
Dental Hygienist
124Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.