Individual
MS. DEBORAH JEAN LIDBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
112 E MAURER ST, SHAWANO, WI 54166-2942
(715) 526-9655
(715) 526-2302
Mailing address
N4765 WILLOW LN, SHAWANO, WI 54166-6138
(715) 526-9678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
63453030
WI
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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