Holm, Lydia J

Holm, Lydia J is an individual health care provider with primary practice located at 1200 Pleasant St Blank Administration, Des Moines IA 50309-1406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Holm, Lydia J can be contacted via phone (515) 241-5926.

Contact Information

Primary practice address
1200 Pleasant St Blank Administration Des Moines IA 50309-1406
Phone: (515) 241-5926
Fax: (515) 241-5127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD-35772 Iowa

Profile Details

NPI number 1700860806
LBN Legal business name Holm, Lydia J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Oct 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700860806 NPPES
Iowa MEDICAID 1700860806
Iowa MEDICAID 1700860806
Iowa MEDICAID 100264995-00

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