Individual
LIDIA M NAGAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
Mailing address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-1069
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
58863
AZ
2085N0700X
Neuroradiology Physician
DR.0052538
CO
2085R0202X
Diagnostic Radiology Physician
MD436723
PA
2085R0202X
Diagnostic Radiology Physician
ME133031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022845300
—
FL
Enumeration date
04/05/2011
Last updated
04/15/2021
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