Provider Demographics
NPI:1952152100
Name:ESPER, LIDIA (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:LIDIA
Middle Name:
Last Name:ESPER
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 E CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:SD
Mailing Address - Zip Code:57005-1604
Mailing Address - Country:US
Mailing Address - Phone:178-165-8025
Mailing Address - Fax:
Practice Address - Street 1:1402 E CEDAR ST
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:SD
Practice Address - Zip Code:57005-1604
Practice Address - Country:US
Practice Address - Phone:178-165-8025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty