Dr Roy Lidtke Plc

NPI #1881927341 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1881927341
Entity Type: Organization
Organization Name: Dr Roy Lidtke Plc
Primary Specialty: Podiatrist
Enumeration Date: Sep 15, 2009
Last Updated: Sep 15, 2009

Practice Location

Address: 1026 A AVE NE
Address 2: SUITE 5000
City: Cedar Rapids
State: Iowa
ZIP Code: 52402-5036
Phone: (319) 929-5572

Authorized Official

Name: DR. ROY LIDTKE, MD
Title: MEDICAL DIRECTOR
Phone: (319) 929-5572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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