Individual
LIDIA OUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5002 S MILL AVE, TEMPE, AZ 85282-6828
(602) 277-6211
Mailing address
5002 S MILL AVE, TEMPE, AZ 85282-6828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8769
AZ
Other
Enumeration date
10/17/2021
Last updated
12/28/2021
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