Calley A. Lidle is a Pediatrics in St. Paul, Minnesota. Calley A. Lidle practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Calley A. Lidle is 1851513436. The last update date is 2009-07-02.
Calley A. Lidle's current location address is 233 Grand Avenue, St. Paul, Minnesota. You can contact this provider via phone number 6512277806 and fax number 6512566707. The mailing address for Calley A. Lidle is 233 Grand Avenue, St. Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Calley A. Lidle |
|---|---|
| Address | 233 Grand Avenue, St. Paul, Minnesota |
| Phone Number | 6512277806 |
| Fax Number | 6512566707 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1851513436 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2009-07-02 |
Provider Mailing Address Detail
| Address | 233 Grand Avenue |
|---|---|
| City | St. Paul |
| State | Minnesota (MN) |
| Post Code | 551029658 |
| Phone Number | 6512277806 |
| Fax Number | 6512566707 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 125050402 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 185153436 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Calley A. Lidle by the Centers for Medicare & Medicaid Services?
The Calley A. Lidle has been issued the NPI (National Provider Identifier) 1851513436, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Calley A. Lidle located?
The Calley A. Lidle is located at 233 Grand Avenue, St. Paul, MN 551029658.
What is the Calley A. Lidle's specialty and taxonomy code?
The Calley A. Lidle's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Calley A. Lidle receive its 1851513436 assignment from the Centers for Medicare & Medicaid Services?
The Calley A. Lidle was assigned its 1851513436 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date were the details related to Calley A. Lidle most recently updated or revised?
The information pertaining to Calley A. Lidle, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-02.