Individual
LAURA LYDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7227 LAND O LAKES BLVD, LAND O LAKES, FL 34638-2826
(813) 794-2600
Mailing address
2255 FOGGY RIDGE PKWY, LAND O LAKES, FL 34639-5412
(813) 794-2600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000378
FL
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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