Individual
LYDIA BRIDGEWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 CORAL RIDGE DR, APT 103, CORAL SPRINGS, FL 33071-4169
(954) 993-5478
Mailing address
990 CORAL RIDGE DR, APT 103, CORAL SPRINGS, FL 33071-4169
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 1289621
FL
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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