Individual
JULIE LYDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 MALCOLM AVE, NEWPORT, AR 72112-3668
(870) 512-2500
(870) 512-2525
Mailing address
PO BOX 2197, BATESVILLE, AR 72503-2197
(870) 262-5545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221590
AR
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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