| Doctor Name: | MS. LYDIA BATTLE |
| NPI Number: | 1346343159 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 103395 |
| Business Practice Address: | 6030 W Highway 74 Suite A Indian Trail, NC - 280793468 |
| Business Phone Number: | 7042462777 |
| Business Fax Number: | 7042462788 |
| Mailing Address: | Po Box 601888, CHARLOTTE |
| State: | NC |
| Postal Code: | 282601888 |
| Phone Number: | 7042462777 |
| Fax Number: | 7042462788 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 01/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 103395 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |