Individual
LYDIA M BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1328 OLD STAGE RD, REPTON, AL 36475-9433
(251) 593-1227
(833) 760-3746
Mailing address
1328 OLD STAGE RD, REPTON, AL 36475-9433
(251) 593-1227
(833) 760-3746
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
AL
363LF0000X
Family Nurse Practitioner
Primary
115121
AL
Other
Enumeration date
09/21/2020
Last updated
12/04/2025
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