Individual
DR. LYDIA ROSAMOND DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
900 N 92ND ST, MILWAUKEE, WI 53226-1202
(414) 805-3000
Mailing address
3489 FENDER RD, MELBOURNE, KY 41059-9455
(859) 448-9174
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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