Individual
LYDIA VANWORMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 S HOUGHTON RD, TUCSON, AZ 85748-7632
(520) 543-6100
Mailing address
2017 COPPER LEAF PKWY, APT. 207, DURHAM, NC 27703-7749
(850) 501-8316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
257519
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
699344
NY
Other
Enumeration date
04/22/2015
Last updated
02/21/2025
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