JULIE LYDOLPH MD NPI 1306569991

NPI Information

  • NPI: 1306569991
  • Provider Name: JULIE LYDOLPH, MD
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2200 MALCOLM AVE
    NEWPORT, AR
    ZIP 72112
  • Phone: (870) 512-2500

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NPI Details

Julie Lydolph, MD is a family nurse practitioner in Newport, AR. Julie Lydolph, MD NPI is 1306569991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 MALCOLM AVE
NEWPORT, AR
ZIP 72112-668
Phone: (870) 512-2500
Fax: (870) 512-2525

The enumeration date for this NPI number is 9/20/2022 and was last updated on 9/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily221590ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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