Lisa Lydston

NPI #1427452739 in Fort Walton Beach, Florida

Provider Information

NPI Number
1427452739
Entity Type
Individual
Name
Lisa Lydston
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 15, 2014
Last Updated
Oct 15, 2014

Practice Location

Address
137 HOSPITAL DR NE
State
Florida
ZIP Code
32548-5063
Phone
(850) 833-7451

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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