MEDICARE: LIDIA ALWARD

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
1	104100000X	Social Worker	6802078798	MI

General Provider Information

NPI Number	:	1447402656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIDIA ALWARD

Provider Business Mailing Address
First Line	:	3176 KILBURN RD W
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-2916
Country	:	US
Telephone Number	:	248-373-8883
Fax Number	:

Provider Business Practice Location Address
First Line	:	3176 KILBURN RD W
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-2916
Country	:	US
Telephone Number	:	248-373-8883
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	10/21/2008

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Directions to “ LIDIA ALWARD ” Practice Location

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