Individual
ALECIA SUE LIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
225 E 7TH ST, APOPKA, FL 32703-5327
(407) 905-8827
(407) 886-4282
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 905-8998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106577
FL
Other
Enumeration date
05/09/2012
Last updated
05/01/2023
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