Lydia S Q Villafuerte MD

NPI #1154469609 in Carlinville, Illinois

Provider Information

NPI Number: 1154469609
Entity Type: Organization
Organization Name: Lydia S Q Villafuerte MD
Primary Specialty: Family Medicine
Enumeration Date: Feb 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 205 OAKLAND AVE
City: Carlinville
State: Illinois
ZIP Code: 62626-1921
Phone: (217) 854-6262

Authorized Official

Name: LYDIA VILLAFUERTE, MD
Title: OWNER
Phone: (217) 854-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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