Individual
LYDIA ASHLEN DUNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3714 W BROADWAY APT 5107, COLUMBIA, MO 65203-0238
(417) 880-6454
Mailing address
3714 W BROADWAY APT 5107, COLUMBIA, MO 65203-0238
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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