Individual
MERCEDES COLLEEN LIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
4300 WEST 7TH STREET, CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM, LITTLE ROCK, AR 72205
(501) 257-1085
(501) 257-1086
Mailing address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1085
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A#157
AR
Other
Enumeration date
08/15/2006
Last updated
02/26/2010
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