Individual
LYDIA FRECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3268 OAKWOOD WAY, MARION, IN 46952-9746
(765) 517-4417
Mailing address
3268 OAKWOOD WAY, MARION, IN 46952-9746
(765) 517-4417
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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