Individual
MRS. LYDIA ANN REDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4435 RONALD REAGAN BLVD, JOHNSTOWN, CO 80534-6566
(303) 859-0854
(970) 612-8013
Mailing address
4435 RONALD REAGAN BLVD, JOHNSTOWN, CO 80534-6566
(303) 859-0854
(970) 612-8013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
022781
OH
Other
Enumeration date
05/30/2018
Last updated
03/29/2024
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