person
Dr. Grace Marie Lidl, MD
Military Health Care Provider in Fort Rucker, Alabama
NPI 1710171673

Grace Marie Lidl is a Military Health Care Provider based in Fort Rucker, AL. Grace Marie Lidl practices in Fort Rucker, AL and has the professional credentials of MD. The NPI Number for Grace Marie Lidl is 1710171673 and holds a License No. (Alabama).

The current practice location address for Grace Marie Lidl is 301 Andrews Ave., Fort Rucker, AL and can be reached out via phone at 334-255-7040 and via fax at 334-255-7716.

Location: 301 Andrews Ave., Fort Rucker, AL, 36362-5333
person
Provider Profile Details
NPI Number
1710171673
Provider Name
Grace Marie Lidl
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
301 Andrews Ave., Fort Rucker, AL, 36362-5333
Phone Number
334-255-7040
Fax Number
334-255-7716
Provider Enumeration Date
09/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Andrews Ave.
City
State
Zip
36362-5333
Phone Number
334-255-7040
Fax Number
334-255-7716
person
Provider Business Mailing Address Details
Address
301 Andrews Ave.
City
State
Zip
36362-5333
Phone Number
334-255-7040
Fax Number
334-255-7716
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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