Provider Demographics
NPI:1023242765
Name:RICHEY, LAUREN JEAN (DVM)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:JEAN
Last Name:RICHEY
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FAYVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01745-1033
Mailing Address - Country:US
Mailing Address - Phone:617-671-8018
Mailing Address - Fax:617-636-8354
Practice Address - Street 1:34 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FAYVILLE
Practice Address - State:MA
Practice Address - Zip Code:01745-1033
Practice Address - Country:US
Practice Address - Phone:617-671-8018
Practice Address - Fax:617-636-8354
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-10
Last Update Date:2009-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5828174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian