Lyda Azelton

NPI 1154552610 - Occupational Therapist - 225X00000X

NPI Details
NPI 1154552610
Gender Female
Enumeration Date 07/31/2009
Last Updated 07/31/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
640 JACKSON ST
SAINT PAUL MN, 55101-2502, US
Phone (651) 254-2326
Fax
Business Location
640 JACKSON ST
SAINT PAUL MN, 55101-2502, US
Phone (507) 645-5175
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Minnesota
License Number 103739
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According to our database, Mrs. Lyda Azelton NPI is 1154552610, taxonomy code is 225X00000X and license number is 103739, license state is located at Minnesota. Lyda Azelton physically located at 640 Jackson St, Saint Paul MN, 55101-2502. NPI Number Lyda Azelton has the Individual type.

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1154552610 NPI number is provided on an as is basis without warranty of any kind. 1154552610 is maintained by the National Plan & Provider Enumeration System. The contents of Lyda Azelton are for informational purposes only.