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Individual

LYDIA MARIE DOMINIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1091 KIRKPATRICK RD, BURLINGTON, NC 27215-9714
(336) 538-1880
(336) 538-1895
Mailing address
1091 KIRKPATRICK RD, BURLINGTON, NC 27215-9714
(336) 538-1880
(336) 538-1895

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
231729
NC
367A00000X
Advanced Practice Midwife
Primary
607
NC

Other

Enumeration date
07/19/2016
Last updated
12/02/2022
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