JUDITH LIDY

CHARLESTON, IL
NPI1588770424
Other NameJUDITH LIDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209-000974)
Enumeration Date2006-08-22
Last Update Date2017-02-06
Business Address
-- JUDITH LIDY FNP
506 W LINCOLN AVE SUITE 200 A
CHARLESTON, IL 61920-2453
Phone number: 217-348-8727
Mailing Address
-- JUDITH LIDY FNP
506 W LINCOLN AVE SUITE 200 A
CHARLESTON, IL 61920-2453
Phone number: 217-348-8727
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