Lida Eatedali MD

NPI 1003838103 - Internal Medicine - 207R00000X

NPI Details
NPI 1003838103
Gender Female
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1111 EAST END BLVD
VAMC.
WILKES BARRE PA, 18711, US
Phone (570) 824-3521
Fax
Business Location
306 INDIAN CREEK DR
WILKES WOOD
WILKES BARRE PA, 18702-7826, US
Phone (570) 820-0465
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301084937
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According to our database, Dr. Lida Eatedali MD NPI is 1003838103, taxonomy code is 207R00000X and license number is 4301084937, license state is located at Michigan. Lida Eatedali MD physically located at 1111 East End Blvd, Wilkes Barre PA, 18711. NPI Number Lida Eatedali MD has the Individual type.

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1003838103 NPI number is provided on an as is basis without warranty of any kind. 1003838103 is maintained by the National Plan & Provider Enumeration System. The contents of Lida Eatedali MD are for informational purposes only.