Individual
LYDIA RITA ASSIOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2320 N LAKE DR, MILWAUKEE, WI 53211-4507
(414) 270-4932
Mailing address
2320 N LAKE DR, MILWAUKEE, WI 53211-4507
(414) 270-4932
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
72657
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
08/04/2020
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