Individual
LYDIA SICKBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1768
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01091631A
IN
Other
Enumeration date
02/08/2022
Last updated
09/18/2025
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