Individual
LYDIA ANNE HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2001 70TH AVE STE 300, GREELEY, CO 80634-4632
(970) 810-6353
Mailing address
2001 70TH AVE STE 300, GREELEY, CO 80634-4632
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101020264
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
DR.0058126
CO
Other
Enumeration date
04/15/2013
Last updated
01/24/2019
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