Grace Marie Lidl, MD Valid NPI
Individual provider · Military Health Care Provider · Fort Rucker, AL
- NPI
- 1710171673
- Type
- Individual (Type 1)
- Primary specialty
- Military Health Care Provider
- Specialty group
- Other Service Providers
- Taxonomy code
- 171000000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-09-04
- Last updated
- 2017-03-02
Practice location
301 Andrews Ave., Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
(334) 255-7040