Lacey Richardson
Lacey Richardson is a Dental Hygienist in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2021.
- Licensed in
- ID
- In the registry since
- 2021
Practice location Address checks out
3326 4th St Ste 1Lewiston, ID 83501-4455
Phone: (208) 746-2646
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Hygienist (primary) | Taxonomy 124Q00000X · Licence DH-3647-RST (ID) |
|---|
Record details
| NPI number | 1700468824 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 27, 2021 |
| Last updated in NPPES | April 27, 2021 |
| Certification date | April 27, 2021 |
| Mailing address | 726 Preston Ave, Lewiston, ID 83501-4619 |