Individual
LYDIA MCCANTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N DE VILLIERS ST, UNIT 219, PENSACOLA, FL 32501-3890
(850) 485-1302
Mailing address
321 N DE VILLIERS ST, UNIT 219, PENSACOLA, FL 32501-3890
(850) 485-1302
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
233121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006394100
—
FL
Enumeration date
02/24/2014
Last updated
02/24/2014
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