LIDIANNY POLANCO

TUSCALOOSA, AL
NPI1548624539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  DO1984)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-06
Last Update Date2019-08-30
Business Address
LIDIANNY POLANCO D.O
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401-7457
Phone number: 205-348-1770
Mailing Address
LIDIANNY POLANCO D.O
1 ELY PARK BLVD APT 56-2
BINGHAMTON, NY 13905-1447
Phone number: 201-401-7923