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NPI Code Detail

MEDICARE: DR. DORIAN LORRAE RICHARDSON ND

MEDICARE:  DR. DORIAN LORRAE RICHARDSON  ND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath19-1799AZ
2207Q00000XFamily Medicine Physician19-1799AZ
32084A0401XAddiction Medicine (Psychiatry & Neurology) Physician19-1799AZ
42084P0800XPsychiatry Physician19-1799AZ

General Provider Information

NPI Number : 1326601790
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DORIAN LORRAE RICHARDSON ND
Provider Business Mailing Address
First Line : 3324 E RAY RD UNIT 1915
Second Line :
City : HIGLEY
State : AZ
Zip : 85236-4591
Country : US
Telephone Number : 520-505-1944
Fax Number :
Provider Business Practice Location Address
First Line : 205 E OSBORN RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2327
Country : US
Telephone Number : 520-505-1944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2019
Last Update Date : 04/01/2025

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