Individual
JOEL LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 309-0576
Mailing address
4821 KERTH DR, SAINT LOUIS, MO 63128-3117
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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