Organization
K LIDZ NP IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE LIDZ (OWNER)
(803) 619-9846
Entity
Organization
Contact information
Practice address
6520 SW THISTLE TER, PALM CITY, FL 34990-3857
(803) 619-9846
(803) 913-5275
Mailing address
1983 NEWBERRY LN, TEGA CAY, SC 29708-8438
(803) 619-9846
(803) 913-5275
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
12/18/2024
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