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1912498726
LYDIA ANN SMITH
SANTA ROSA, CA
NPI
1912498726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95007721)
Enumeration Date
2018-05-29
Last Update Date
2018-06-16
Business Address
Ms. LYDIA ANN SMITH FNP
2375 RANGE AVE UNIT 1
SANTA ROSA, CA 95403-9419
Phone number: 707-595-2817
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Mailing Address
Ms. LYDIA ANN SMITH FNP
2162 FRIDA AVE
SANTA ROSA, CA 95403-8131
Phone number: 562-665-5365
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