Female

Lydiah Otachi NURSE PRACTITIONER

Primary Care Nurse Practitioner in Rochester, MN(View on Map)

Full Name

Lydiah Otachi NURSE PRACTITIONER

NPI Number

1689428070

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/12/2024

Specialties

(Taxonomies)

Code

363LP2300X
363LA2200X
363LG0600X

Primary Taxonomy

Yes
No
No

Licenses

State

Minnesota

License Number

11498

Contact
Information

Purpose

Mailing
Location

Address

200 1ST ST SW
200 1ST ST SW

City

Rochester
Rochester

State

MN
MN

Postal Code

55905-0001
55905-0001

Country

US
US

Telephone Number

(507) 266-0440
(507) 266-0440

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/23/2024

Provider Address

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