Individual
LIDIA MICLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 S NATIONAL AVE, SPRINGFIELD, MO 65807-7314
(417) 269-9950
Mailing address
1227 S ROME AVE, REPUBLIC, MO 65738-2312
(417) 209-1708
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2026017774
MO
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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