Individual
DR. LYDIA A PFENNIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
620 W NORTH ST, COLUMBIA CITY, IN 46725
(260) 244-0202
(260) 248-8255
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005508A
IN
207Q00000X
Family Medicine Physician
03119
KY
207Q00000X
Family Medicine Physician
125-049772
IL
Other
Enumeration date
07/23/2007
Last updated
10/12/2022
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