Individual
SALLY ANN LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
115 4TH ST S, GREAT FALLS, MT 59401-3618
(406) 454-6973
(406) 454-6986
Mailing address
770 SPRING CREEK RD, SAND COULEE, MT 59472-9749
(406) 736-5797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN20118
MT
363LG0600X
Gerontology Nurse Practitioner
RN20118
MT
Other
Enumeration date
01/08/2007
Last updated
02/24/2012
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