Individual
DR. KERRI MICHELLE LYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4195
(904) 244-4908
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-4195
(904) 244-4908
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10049547
TX
207L00000X
Anesthesiology Physician
Primary
ME145304
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
ME145304
FL
Other
Enumeration date
04/08/2014
Last updated
04/07/2021
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