JOHN LIDVALL, MD
Family Medicine
Active
Individual
NPI: 1376856559
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 036132696 (IL) |
Frequently Asked Questions
NPI 1376856559 is the National Provider Identifier for JOHN LIDVALL, MD, a Family Medicine provider located in Peoria, IL. This NPI was enumerated on July 16, 2010.
JOHN LIDVALL, MD practices at 815 MAIN ST, Peoria, IL 61602.
Quick Facts
- NPI
- 1376856559
- Type
- Individual
- Enumerated
- Jul 16, 2010
- Last Updated
- Sep 15, 2020
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