Individual
CALLEY A. LIDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125050402
IL
208000000X
Pediatrics Physician
Primary
51175
MN
208000000X
Pediatrics Physician
52074-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185153436
—
MN
Enumeration date
05/03/2007
Last updated
07/02/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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