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Individual

PAULA A LIDESTRI

Active
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Individual

PAULA A LIDESTRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
225974
NY
208100000X
Physical Medicine & Rehabilitation Physician
35086210
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A110395
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2572603
OH
Enumeration date
10/03/2006
Last updated
07/23/2018
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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