Individual
DR. DOUGLAS CHRISTIAN LIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1103 HIGH STREET, SUITE 100, AUBURN, CA 95603-5124
(530) 885-4673
(530) 888-9193
Mailing address
1103 HIGH STREET, SUITE 100, AUBURN, CA 95603-5124
(530) 885-4673
(530) 888-9193
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G59192
CA
Other
Enumeration date
11/23/2007
Last updated
12/06/2011
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