person
Dr. Susannah Elizabeth Lyddon, DMD
Student in an Organized Health Care Education/Training Program in Pontiac, Michigan
NPI 1972161214

Susannah Elizabeth Lyddon is a Student in an Organized Health Care Education/Training Program based in Auburn Hills, MI. Susannah Elizabeth Lyddon practices in Pontiac, MI and has the professional credentials of DMD. The NPI Number for Susannah Elizabeth Lyddon is 1972161214 and holds a License No. (Michigan).

The current practice location address for Susannah Elizabeth Lyddon is 44405 Woodward Ave, Pontiac, MI and can be reached out via phone at 248-858-3234.

Location: 44405 Woodward Ave, Pontiac, MI, 48326-3483
person
Provider Profile Details
NPI Number
1972161214
Provider Name
Susannah Elizabeth Lyddon
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
44405 Woodward Ave, Pontiac, MI, 48326-3483
Phone Number
248-858-3234
Fax Number
Provider Enumeration Date
06/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
44405 Woodward Ave
City
State
Zip
48341-5023
Phone Number
248-858-3234
Fax Number
person
Provider Business Mailing Address Details
Address
44405 Woodward Ave
City
State
Zip
48341-5023
Phone Number
248-858-3234
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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