Individual
DR. DIANNA LYNN HICKMAN
Active
Individual
DR. DIANNA LYNN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
107834
MO
207VX0000X
Obstetrics Physician
Primary
G03803
MO
Other
Enumeration date
07/19/2005
Last updated
03/17/2017
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