LIDIA S POMAVILLE

BERWYN, IL
NPI1144595174
Former NameLIDIA SCHETTLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-004255)
Enumeration Date2012-03-08
Last Update Date2021-02-23
Business Address
Ms. LIDIA S POMAVILLE PA-C
3253 S HARLEM AVE SUITE 1A
BERWYN, IL 60402-3073
Phone number: 262-898-4400
Mailing Address
Ms. LIDIA S POMAVILLE PA-C
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 866-630-9882
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