Individual
LYDIA ANNE CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 PARK DR, PERU, IN 46970-2874
(765) 327-4536
Mailing address
19 PARK DR, PERU, IN 46970-2874
(765) 327-4536
(414) 622-3838
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008986A
IN
Other
Enumeration date
06/03/2019
Last updated
06/05/2024
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