DR. Lida Eatedali, MD

NPI #1003838103 in Wilkes Barre, Pennsylvania

Provider Information

NPI Number: 1003838103
Entity Type: Individual
Name: DR. Lida Eatedali, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1111 EAST END BLVD
Address 2: VAMC.
City: Wilkes Barre
State: Pennsylvania
ZIP Code: 18711
Phone: (570) 824-3521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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