Individual
LYDIA RAE HEBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-9865
(303) 651-5332
Mailing address
3657 SCHUMAN PL, MEAD, CO 80542-4551
(303) 868-6858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0021349
CO
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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