| Doctor Name: | MS. LYNN LAURA LIDBURY |
| NPI Number: | 1588679971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 180002670 |
| Business Practice Address: | 23500 Western Ave Park Forest, IL - 604662612 |
| Business Phone Number: | 7088280968 |
| Business Fax Number: | 7084815466 |
| Mailing Address: | 23500 Western Ave, PARK FOREST |
| State: | IL |
| Postal Code: | 604662612 |
| Phone Number: | 7088280968 |
| Fax Number: | 7084815466 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 09/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180002670 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |