Individual
LYDIA NOEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1404 CROSS ST, SHILOH, IL 62269-2988
(618) 607-1000
Mailing address
316 W LINDEN ST, EDWARDSVILLE, IL 62025-2052
(618) 795-9432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025035966
MO
Other
Enumeration date
09/06/2025
Last updated
11/26/2025
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