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Individual

DR. LYDIA B SPEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1751 GUNBARREL RD, SUITE 201, CHATTANOOGA, TN 37421-7177
(423) 778-8909
(423) 778-8910
Mailing address
975 E 3RD ST, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-5630
(423) 778-3146

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116022586
VA
207Q00000X
Family Medicine Physician
Primary
2820
TN
207Q00000X
Family Medicine Physician
36172
SC

Other

Enumeration date
06/09/2010
Last updated
08/21/2015
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