Individual
DEANNA RAE LYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6168 LOW RD, LISBON, OH 44432-9347
(330) 360-1879
Mailing address
3499 BELMONT AVE, YOUNGSTOWN, OH 44505-1807
(330) 744-0221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
023435
OH
Other
Enumeration date
08/14/2018
Last updated
08/10/2021
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