Individual provider · Type 1 NPI
Lydia Stegemann, DMD
Student in an Organized Health Care Education/Training Program · Boston, MA
NPI number
1780241786
Active
Practice location
1 Kneeland St
Boston, MA 02111-1527
Mailing address
45 Stuart St Apt 1514
Boston, MA 02116-4757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1780241786
Lydia Stegemann, DMD's National Provider Identifier is 1780241786, issued on May 24, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 24, 2019.