Individual
NICOLE C LIDYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
11100 EUCLID AVE, MAILSTOP: LKSD 5021, CLEVELAND, OH 44106-1716
(216) 844-0542
Mailing address
11100 EUCLID AVE, MAILSTOP: LKSD 5021, CLEVELAND, OH 44106-1716
(216) 844-0542
(216) 844-0226
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-5243
OH
Other
Enumeration date
02/03/2006
Last updated
01/21/2011
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