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NPI Code Detail

MEDICARE: LYDIA MCCOLL MAKEPEACE MD

MEDICARE: LYDIA MCCOLL MAKEPEACE MD
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
1207V00000XObstetrics & Gynecology PhysicianV1176TX

General Provider Information

NPI Number : 1851972095
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA MCCOLL MAKEPEACE MD
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-648-3433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2021
Last Update Date : 02/26/2026

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