Individual
LYDIA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2293 N MAIN ST, CROWN POINT, IN 46307-1854
(219) 755-3385
Mailing address
2293 N MAIN ST, CROWN POINT, IN 46307-1854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-002630
IL
363A00000X
Physician Assistant
Primary
10001356A
IN
Other
Enumeration date
04/02/2007
Last updated
03/13/2014
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