Individual
DR. LYDIA MUSTAFIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2710 SAINT FRANCIS DR STE 210, WATERLOO, IA 50702-5664
(319) 272-5000
Mailing address
1306 VERSAILLES RD, STE 120, LEXINGTON, KY 40504-1796
(859) 259-0717
(859) 254-7874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44461
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100179770
—
KY
Enumeration date
05/28/2009
Last updated
07/21/2022
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