| NPI | 1578585162 |
|---|---|
| Professional Name | LYDIA M TEAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C00401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R25489) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-04-20 |