Individual
DENISE LYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3926 LOBLOLLY TRL, MARTINEZ, GA 30907-3356
(706) 306-1070
Mailing address
3926 LOBLOLLY TRL, MARTINEZ, GA 30907-3356
(706) 306-1070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN198577
GA
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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