Grace Marie Lidl in Fort Rucker - Military Health Care Provider
Grace Marie Lidl - NPI 1710171673
Grace Marie Lidl is a Military Health Care Provider in Fort Rucker, Alabama. Grace Marie Lidl practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Grace Marie Lidl is 1710171673. The last update date is 2017-03-02.
Grace Marie Lidl's current location address is 301 Andrews Ave., Fort Rucker, Alabama. You can contact this provider via phone number 3342557040 and fax number 3342557716. The mailing address for Grace Marie Lidl is 301 Andrews Ave., Fort Rucker, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Marie Lidl |
|---|---|
| Address | 301 Andrews Ave., Fort Rucker, Alabama |
| Phone Number | 3342557040 |
| Fax Number | 3342557716 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710171673 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2017-03-02 |
Provider Mailing Address Detail
| Address | 301 Andrews Ave. |
|---|---|
| City | Fort Rucker |
| State | Alabama (AL) |
| Post Code | 363625333 |
| Phone Number | 3342557040 |
| Fax Number | 3342557716 |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
|
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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What is the Grace Marie Lidl's unique identification number?
The Grace Marie Lidl has been assigned the NPI (National Provider Identifier) Number 1710171673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Grace Marie Lidl is located?
The Grace Marie Lidl is situated at the following address: 301 Andrews Ave., Fort Rucker, AL, 363625333.
What is the area of specialization for Grace Marie Lidl, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Grace Marie Lidl is Military Health Care Provider, and the corresponding taxonomy code that categorizes this area of expertise is 171000000X.
On what date did the Grace Marie Lidl receive its 1710171673 assignment from the Centers for Medicare & Medicaid Services?
The Grace Marie Lidl was assigned its 1710171673 by the Centers for Medicare & Medicaid Services on 2007-09-04.
When was the information regarding Grace Marie Lidl, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Grace Marie Lidl, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-03-02.