Provider Demographics
NPI:1902246093
Name:RICHMOND, SHARON LASHER (RDN, LDN)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LASHER
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:MERYL
Other - Last Name:LASHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LDN
Mailing Address - Street 1:10758 TAVISTOCK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1721
Mailing Address - Country:US
Mailing Address - Phone:813-727-3219
Mailing Address - Fax:
Practice Address - Street 1:3030 N ROCKY POINT DR W
Practice Address - Street 2:SUITE 150
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5803
Practice Address - Country:US
Practice Address - Phone:813-727-3219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 3958133V00000X
FLRD 819919133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered