Individual
LYDIA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP
Contact information
Practice address
1431 OPUS PL STE 110, DOWNERS GROVE, IL 60515-1164
(727) 485-3467
Mailing address
570 JEFFERSON ST, PALM HARBOR, FL 34683-4627
(727) 485-3467
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11036853
FL
Other
Enumeration date
02/14/2025
Last updated
08/08/2025
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