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1285146183
LYDIA SCHAAKE
SAN DIEGO, CA
NPI
1285146183
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Former Name
LYDIA DISSELER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95007878)
Enumeration Date
2017-11-01
Last Update Date
2022-10-20
Business Address
LYDIA SCHAAKE
7801 MISSION CENTER CT STE 250
SAN DIEGO, CA 92108-1314
Phone number: 619-738-5566
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Mailing Address
LYDIA SCHAAKE
2852 GRANDVIEW ST
SAN DIEGO, CA 92110-1035
Phone number: 217-740-6993
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