Individual
LYDIA MARIE DEPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7281 SAWMILL RD # 100, DUBLIN, OH 43016-9021
(614) 764-0707
(614) 764-1707
Mailing address
1511 SANDAMONT DR, LAWRENCEBURG, IN 47025-9079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008558RX
OH
Other
Enumeration date
01/19/2024
Last updated
05/22/2024
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