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Individual

LYDIA J HOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 PLEASANT ST, BLANK ADMINISTRATION, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127
Mailing address
1200 PLEASANT ST, PEDIATRIC EMERGENCY DEPARTMENT, DES MOINES, IA 50309-1406
(515) 241-6611
(515) 241-6635

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD-35772
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100264995-00
NE
05
1700860806
IA
05
1700860806
MN
Enumeration date
12/01/2005
Last updated
10/04/2016
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