Judith Lidy, FNP
NPI #1588770424 in Charleston, Illinois
Provider Information
- NPI Number
- 1588770424
- Entity Type
- Individual
- Name
- Judith Lidy, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Feb 6, 2017
Practice Location
- Address
- 506 W LINCOLN AVE
- Address 2
- SUITE 200 A
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2453
- Phone
- (217) 348-8727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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