Individual
LIDIJA PETROVIC-DOVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 NORTHEAST DR, HERSHEY, PA 17033-2732
(717) 531-8338
(717) 531-6250
Mailing address
PO BOX 858, CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD440874
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025138680002
—
PA
Enumeration date
05/09/2006
Last updated
04/14/2021
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