Individual
MR. JERRAMI LYDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
4935 HOPKINS RD, YOUNGSTOWN, OH 44511-3623
(330) 716-4380
Mailing address
4935 HOPKINS RD, YOUNGSTOWN, OH 44511-3623
(330) 716-4380
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0035160
OH
363LA2100X
Acute Care Nurse Practitioner
RN716224
PA
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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