Nagae, Lidia M

Nagae, Lidia M is an individual health care provider with primary practice located at 677 N Wilmot Rd , Tucson AZ 85711-2701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Nagae, Lidia M can be contacted via phone (520) 795-2889.

Contact Information

Primary practice address
677 N Wilmot Rd Tucson AZ 85711-2701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD436723 Pennsylvania
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X DR.0052538 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME133031 Florida
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 58863 Arizona

Profile Details

NPI number 1356630974
LBN Legal business name Nagae, Lidia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated Apr 15th, 2021 - about 3 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 1356630974 NPPES
Florida MEDICAID 022845300

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