LYDIA JANE COMBS

ROCKFORD, IL
NPI1871954636
Former NameLYDIA JANE KAEDING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209013873)
Additional Taxonomies364SF0001X Clinical Nurse Specialist, Family Health
(Licence: IL  209013873)
Enumeration Date2016-03-08
Last Update Date2016-03-21
Business Address
-- LYDIA JANE COMBS NP
5970 CHURCHVIEW DR
ROCKFORD, IL 61107-2574
Phone number: 815-971-2000
Mailing Address
-- LYDIA JANE COMBS NP
1917 KILBURN AVE
ROCKFORD, IL 61101-3457
Phone number: 815-871-2976