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Individual

MRS. LYDIA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.061077
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000038067
BLUE CROSS BLUE SHIELD
OH
05
0919975
OH
01
1701159
UNITED HEALTH CARE
05
64045826
KY
Enumeration date
11/21/2006
Last updated
04/09/2026
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