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Constance Stubblefield Lydon

Nurse Practitioner, Family in Orlando, FL. Individual provider (NPI-1).

NPI number1447588942
StatusActive
Last updated in NPPESDec 7, 2015

Details

NPI
1447588942
Entity type
Individual (NPI-1)
Name
Constance Stubblefield Lydon
Sex
Female
Sole proprietor
No
Enumeration date
Nov 23, 2009
Last updated
Dec 7, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyARNP9231008FLYes

Practice location

2415 N Orange Ave
Orlando, FL 32804-5505

Phone 407-303-2474

Mailing address

2415 North Orange Ave
Orlando, FL 32804-2709

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