Individual
DR. LIDA BAUCAGE-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
Mailing address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13777
PR
Other
Enumeration date
07/03/2006
Last updated
11/03/2017
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