Individual
LYDIA MARIE CHAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
(269) 467-3072
Mailing address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
(269) 467-3072
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
MI
Enumeration date
10/06/2021
Last updated
10/06/2021
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