Individual
LYDIA STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2635 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114-1271
(651) 254-3500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
66011
MN
Other
Enumeration date
06/01/2015
Last updated
08/30/2021
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