Tamara L Lyday, DO Valid NPI

Individual provider · Family Medicine Physician · North Fond Du Lac, WI

NPI

1891903415

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

48503 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2007-05-18

Last updated

2022-07-21