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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDA LOURDES MAZZA, MD

Active Sole Proprietor

IDA LOURDES MAZZA, MD is a Cardiovascular Disease healthcare provider located in NORTH SIOUX CITY, South Dakota. NPI 1518953850 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · NORTH SIOUX CITY, SD

Registration Details

NPI Number
1518953850
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2005 (20.707183465004 yrs)
Last Updated
Jan 29, 2024
Licenses
ME133355 (FL)
MD419073 (PA)
Sole Proprietor
Yes

Practice Information

Address
711 N SIOUX POINT RD
NORTH SIOUX CITY, SD, 570495099
Browse SD providers · Browse ZIP 57049
Phone
7122947468
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease
Additional Specialty
Cardiovascular Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.