Provider Demographics
NPI:1609589456
Name:RICHMOND, LAURA LEE (NBC-HWC, FMHWC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LEE
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:NBC-HWC, FMHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 EDENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-3627
Mailing Address - Country:US
Mailing Address - Phone:617-458-6131
Mailing Address - Fax:
Practice Address - Street 1:63 EDENFIELD AVE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-3627
Practice Address - Country:US
Practice Address - Phone:617-458-6131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach