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Individual

MS. LYDIA JO MCCLURE-MARING

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 868-8661
(814) 860-2285
Mailing address
220 LOWRY RD, ERIE, PA 16511-1327
(814) 899-0713

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP005163B
PA

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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