Individual provider · Type 1 NPI

Grace Marie Lidl, MD

Military Health Care Provider · Fort Rucker, AL

NPI number 1710171673 Active

Practice location

301 Andrews Ave., Lyster Army Health Clinic
Fort Rucker, AL 36362-5333

Fax (334) 255-7716

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1710171673

Grace Marie Lidl, MD's National Provider Identifier is 1710171673, issued on Sep 4, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Rucker, AL. The record was last updated on Mar 2, 2017.