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1710190889
LIDA LACY EDMUNDSON
DALLAS, TX
NPI
1710190889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX D3210)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- LIDA LACY EDMUNDSON MD
12700 HILLCREST RD SUITE 260
DALLAS, TX 75230-2033
Phone number: 972-789-9319
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Mailing Address
-- LIDA LACY EDMUNDSON MD
12700 HILLCREST RD SUITE 260
DALLAS, TX 75230-2033
Phone number: 972-789-9319
Copy
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