Individual provider · Type 1 NPI

Lisa Michelle Richardson

Diagnostic Radiology Physician · Boston, MA

NPI number 1083118079 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310

Other practice locations

  • 1 University Of New Mexico, Dept Of Internal Medicine Msc 10-5550, Albuquerque, NM 87131-0001 · (505) 272-6331
  • 1 University Of New Mexico, Dept Of Internal Medicine Msc 10-5550, Albuquerque, NM 87131-0001 · (505) 272-6331

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD2025-1145 (NM)
Diagnostic Radiology Physician 2085R0202X1014707 (MA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1083118079

Lisa Michelle Richardson's National Provider Identifier is 1083118079, issued on Mar 22, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Jun 16, 2026.