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General NPI Number Information
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NPI Number | 1952499667
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Entity Type | Individual
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Provider Name | LYDIA R CHRISTIANSEN MD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 9330 MEDICAL PLAZA DR
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City | CHARLESTON
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State | SC
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Zip | 29406-9104
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Country | US
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Telephone | 843-847-4179
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Fax | 843-847-4296
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Provider Business Mailing Address
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Address Line | PO BOX 741087
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City | ATLANTA
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State | GA
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Zip | 30374-1087
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Country | US
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Telephone | 843-847-4179
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Fax | 843-847-4296
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 23974
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | CDR.0002528
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 7658A
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | CDR.0002528
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 23974
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License Number State | SC
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