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NPI Profile for LYDIA E HICKS in PORTLAND, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI Number | 1710494117 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 01/08/2018 | |
| Last updated | 01/08/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LYDIA E HICKS
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LYDIA E HICKS, RN