Provider Demographics
NPI:1992130868
Name:RICHMAN, NICOLA ANNE (LAC)
Entity type:Individual
Prefix:MRS
First Name:NICOLA
Middle Name:ANNE
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8712 HONEYBEE LN
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6921
Mailing Address - Country:US
Mailing Address - Phone:301-828-8856
Mailing Address - Fax:
Practice Address - Street 1:8712 HONEYBEE LN
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-6921
Practice Address - Country:US
Practice Address - Phone:301-828-8856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02069171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist