Individual
MRS. CYNTHIA YVONNE LIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD, 605, LYNWOOD, CA 90262-3513
(310) 639-9363
(310) 639-9251
Mailing address
PO BOX 481, LYNWOOD, CA 90262-0481
(310) 639-9363
(310) 639-9251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN426211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0094780
—
CA
Enumeration date
07/03/2006
Last updated
07/09/2007
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