MS. Lydia Grace Seibert, PA-C

NPI #1487164703 in Tullahoma, Tennessee

Provider Information

NPI Number: 1487164703
Entity Type: Individual
Name: MS. Lydia Grace Seibert, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 2, 2017
Last Updated: Feb 5, 2019

Practice Location

Address: 1801 N JACKSON ST
City: Tullahoma
State: Tennessee
ZIP Code: 37388-8259
Phone: (615) 971-0570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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