Individual
LYDIA SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
400 COLLEGE DR STE 200, MIDDLEBURG, FL 32068-8525
(904) 213-2700
Mailing address
400 COLLEGE DR STE 200, MIDDLEBURG, FL 32068-8525
(904) 213-2700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5244323
FL
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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