Individual
LYDIA STIVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W MICHIGAN ST APT 361, INDIANAPOLIS, IN 46202-3238
(507) 261-5401
Mailing address
2002 14TH ST NE, ROCHESTER, MN 55906-4301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
02/08/2025
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