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NPI Code Detail

MEDICARE: LYDIA NISBETT

MEDICARE:   LYDIA  NISBETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1326571134
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA NISBETT
Provider Business Mailing Address
First Line : 1779 SEMORAN NORTH CIR
Second Line : 103
City : WINTER PARK
State : FL
Zip : 32792-1443
Country : US
Telephone Number : 863-529-5134
Fax Number :
Provider Business Practice Location Address
First Line : 1779 SEMORAN NORTH CIR
Second Line : 103
City : WINTER PARK
State : FL
Zip : 32792-1443
Country : US
Telephone Number : 863-529-5134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2017
Last Update Date : 04/07/2017

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Directions to “ LYDIA NISBETT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.