MRS. SUSIE LIDGE, LPN

Licensed Practical Nurse

Active Individual
NPI: 1740536028

Practice Address

480 CENTRAL AVE
Pearl Harbor, HI 96860

Phone: (808) 471-1866

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 13178 (HI)

Frequently Asked Questions

NPI 1740536028 is the National Provider Identifier for MRS. SUSIE LIDGE, LPN, a Licensed Practical Nurse provider located in Pearl Harbor, HI. This NPI was enumerated on July 24, 2012.
MRS. SUSIE LIDGE, LPN practices at 480 CENTRAL AVE, Pearl Harbor, HI 96860.

Quick Facts

NPI
1740536028
Type
Individual
Enumerated
Jul 24, 2012
Last Updated
Jul 24, 2012

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