Lydolph, Julie

Lydolph, Julie is an sole proprietor health care provider with primary practice located at 2200 Malcolm Ave , Newport AR 72112-3668. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lydolph, Julie can be contacted via phone (870) 512-2500.

Contact Information

Primary practice address
2200 Malcolm Ave Newport AR 72112-3668
Phone: (870) 512-2500
Fax: (870) 512-2525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 221590 Arkansas

Profile Details

NPI number 1306569991
LBN Legal business name Lydolph, Julie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2022
Last updated Sep 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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