Individual
MRS. LORI LYNNE KIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
19 MAIN ST, LONACONING, MD 21539-1122
(301) 463-5757
Mailing address
935 PINECREST DR, C-3, CUMBERLAND, MD 21502-1942
(301) 268-1606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10773
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10773
PHARMACIST
MD
Enumeration date
08/31/2006
Last updated
07/08/2007
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