Individual
LYDIA AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1611 KRESKY AVE STE 108, CENTRALIA, WA 98531-8982
(360) 330-1800
(360) 330-5866
Mailing address
1611 KRESKY AVE STE 108, CENTRALIA, WA 98531-8982
(360) 330-1800
(360) 330-5866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021312
WA
Other
Enumeration date
10/18/2011
Last updated
03/02/2012
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