Nancy Jean Lidge
Driver in Akron, OH. Individual provider (NPI-1).
NPI number1982206769
StatusActive
Last updated in NPPESNov 16, 2020
Details
- NPI
- 1982206769
- Entity type
- Individual (NPI-1)
- Name
- Nancy Jean Lidge
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2020
- Certification date
- Nov 16, 2020
- Last updated
- Nov 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | RN519412 | OH | Yes |
Practice location
732 Sylvan AveAkron, OH 44306-2029
Phone 330-813-0219
Mailing address
732 Sylvan AveAkron, OH 44306-2029
Phone 330-813-0219
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