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Individual

LYDIA A NESEMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1225 W WASHINGTON ST STE 120, TEMPE, AZ 85281-1237
(602) 536-6304
Mailing address
7601 E INDIAN BEND RD APT 1030, SCOTTSDALE, AZ 85250-4682
(623) 262-0918

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009663
AZ
183500000X
Pharmacist
5302410551
MI

Other

Enumeration date
01/20/2022
Last updated
01/20/2022
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