Lydia Ivette Vidal-Cardozo, PAC
NPI #1174533863 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1174533863
- Entity Type
- Individual
- Name
- Lydia Ivette Vidal-Cardozo, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Jan 15, 2014
Practice Location
- Address
- 108 FINNEGAN CT
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-4205
- Phone
- (843) 909-9993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Physician Assistant - Medical — Medical |
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