Individual
DONTAY L LIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
932 KELLY AVE, AKRON, OH 44306-2816
(330) 510-7542
Mailing address
932 KELLY AVE, AKRON, OH 44306-2816
(330) 962-9944
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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