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Individual

LYDIA L. BALTAROWICH

Active
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Individual

LYDIA L. BALTAROWICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
4301041763
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010H262530
BLUE CROSS-BLUE CROSS
05
140460510
MI
01
LB041763
CHAMPUS-CHAMPUS
Enumeration date
11/17/2006
Last updated
07/08/2007
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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