Individual
LYDIA WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 S IDLEWILD ST, MEMPHIS, TN 38104-3926
(901) 272-2702
Mailing address
4189 ROBERT EVERETT CV APT 3, MEMPHIS, TN 38111-7437
(901) 413-4789
(901) 413-4789
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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