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

CALLEY A. LIDLE, M.D.

Active

CALLEY A. LIDLE, M.D. is a Pediatrics healthcare provider located in ST. PAUL, Minnesota. NPI 1851513436 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · ST. PAUL, MN

Registration Details

NPI Number
1851513436
Provider Type
Individual
Gender
Female
NPI Issued
May 3, 2007 (19.238625185225 yrs)
Last Updated
Jul 2, 2009
Licenses
125050402 (IL)
51175 (MN)
52074-020 (WI)

Practice Information

Address
233 GRAND AVENUE
ST. PAUL, MN, 551029658
Browse MN providers · Browse ZIP 55102
Phone
6512277806
Fax
6512566707
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in ST. PAUL, MN

Name Credential NPI
KRISTIN LB PETERSON MD 1124029756
VATHSALA GANESHAN MD 1982688016
DEBRA A WEIMERSKIRCH MD 1770556193
CARRIE LEIGH PETTEY MD 1275647471
PHILIP A GASSELING MD 1487730685
BRIAN STEPHEN HILLIARD M.D. 1659715613
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.