Whalio Doctors

NPI 1710171673

Grace Marie Lidl, MD

Practitioner Military Health Care Provider Fort Rucker, AL

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
Other Service Providers Taxonomy 171000000X

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.