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Lidia Teshome Degefa, MD
Student in an Organized Health Care Education/Training Program in Pine Bluff, Arkansas
NPI 1194427120

Lidia Teshome Degefa is a Student in an Organized Health Care Education/Training Program based in Memphis, AR. Lidia Teshome Degefa practices in Pine Bluff, AR and has the professional credentials of MD. The NPI Number for Lidia Teshome Degefa is 1194427120 and holds a License No. (Arkansas).

The current practice location address for Lidia Teshome Degefa is 1601 W 40Th Ave, Pine Bluff, AR and can be reached out via phone at 870-541-6010 and via fax at 870-541-6009.

Location: 1601 W 40Th Ave, Pine Bluff, AR, 38134-9319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194427120
Provider Name
Lidia Teshome Degefa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1601 W 40Th Ave, Pine Bluff, AR, 38134-9319
Phone Number
870-541-6010
Fax Number
870-541-6009
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 W 40Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-6069
Phone Number
870-541-6010
Fax Number
870-541-6009
person
Provider Business Mailing Address Details
Address
1601 W 40Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-6069
Phone Number
870-541-6010
Fax Number
870-541-6009
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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