Individual
CONSTANCE STUBBLEFIELD LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 N ORANGE AVE, ORLANDO, FL 32804-5505
(407) 303-2474
Mailing address
2415 NORTH ORANGE AVE, ORLANDO, FL 32804-2709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9231008
FL
Other
Enumeration date
11/23/2009
Last updated
12/07/2015
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