Individual
ANNETTA LIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, CBC
Contact information
Practice address
134 ADAMS RD, PORT DEPOSIT, MD 21904-1435
(609) 240-8976
Mailing address
134 ADAMS RD, PORT DEPOSIT, MD 21904-1435
(609) 240-8976
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
MD
374J00000X
Doula
Primary
—
MD
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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