NPI 1710171673
Grace Marie Lidl, MD
Practice location
- Address
- 301 Andrews Ave. Lyster Army Health Clinic, Fort Rucker, AL 36362-5333
- Phone
- (334) 255-7040
- Fax
- (334) 255-7716
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1710171673
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Sep 2007
- Record last updated
- 2 Mar 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.