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Individual

LYDIA WEATHERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
181 EMMETT ST W, BATTLE CREEK, MI 49037-2963
(269) 965-8866
Mailing address
181 EMMETT ST W, BATTLE CREEK, MI 49037-2963
(269) 965-8866

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011413
MI

Other

Enumeration date
10/12/2022
Last updated
10/21/2024
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