LYDIA L. HARRIS PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1861386476- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 615 S NEW BALLAS RD, SAINT LOUIS, MO, 631418221
- Phone
- (314) 251-6339
- Fax
- (314) 251-4564
Specialties & Taxonomies
Physician Assistant
Primary License: MO #2025032287
All Addresses
MAILING
1591 HIGHLAND VALLEY CIR
WILDWOOD, MO, 630054263