Individual
DR. LIDIA YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 RESOLUTE LN, MOUNT PLEASANT, SC 29464-6608
(843) 814-3722
Mailing address
10 RESOLUTE LN, MOUNT PLEASANT, SC 29464-6608
(843) 814-3722
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01086582A
IN
2084N0400X
Neurology Physician
036158288
IL
2084N0400X
Neurology Physician
2021-02778
NC
2084N0400X
Neurology Physician
2021037967
MO
2084N0400X
Neurology Physician
Primary
34536
SC
390200000X
Student in an Organized Health Care Education/Training Program
LL 34536
SC
Other
Enumeration date
06/12/2012
Last updated
11/19/2021
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