| Doctor Name: | MS. LEESA RICHARDSON |
| NPI Number: | 1023032950 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 22847 |
| Business Practice Address: | 3215 Westport Green Pl Louisville, KY - 402413135 |
| Business Phone Number: | 5024121112 |
| Business Fax Number: | 5023570606 |
| Mailing Address: | Po Box 950166, LOUISVILLE |
| State: | KY |
| Postal Code: | 402950166 |
| Phone Number: | 5022531035 |
| Fax Number: | 5022531037 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 22847 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |