NPI 1144733130
Lydia J Diekmann, ADT
Practice location
- Address
- 2711 Broadway Ave STE A00, Slayton, MN 56172-1313
- Phone
- (507) 836-1000
- Fax
- (507) 836-1008
Registered specialties
Advanced Practice Dental Therapist
Primary
Registry record
- NPI
- 1144733130
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Nov 2017
- Record last updated
- 13 Nov 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.