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Contact Information

LYDIA M BONNER, NP
1328 OLD STAGE RD
REPTON, AL36475-9433
 Phone: 251-593-1227
 Fax: 833-760-3746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for LYDIA M BONNER · (Female)

NPI Number 1386250710
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/21/2020
Last updated 12/04/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • AL License # 115121
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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