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DR. GRACE MARIE LIDL MD
NPI 1710171673
Military Health Care Provider in Fort Rucker, AL

Active since September 04, 2007
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362(334) 255-7040(334) 255-7716 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grace Marie Lidl Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRACE MARIE LIDL MD (NPI 1710171673) is an individual military health care provider provider in Fort Rucker, Alabama and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1710171673
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. GRACE MARIE LIDLCredential: MD
Location Address301 ANDREWS AVE., LYSTER ARMY HEALTH CLINICFort Rucker, AL 36362-5333
Mailing Address301 Andrews Ave., Lyster Army Health ClinicFort Rucker, AL 36362-5333 · (334) 255-7040 · Fax (334) 255-7716
Phone(334) 255-7040
Fax(334) 255-7716
Sole ProprietorNo
Enumeration DateSeptember 4, 2007
Last NPPES UpdateMarch 2, 2017
✔ NPI 1710171673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
301 ANDREWS AVE., Fort Rucker, AL 36362
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANNA BLANKS
Licensed Practical Nurse
301 ANDREWS AVE.
FORT RUCKER, AL 36362
Dale County (334) 255-7973
MRS. DONNA TACEY
Specialist/Technologist (Audiology Assistant)
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
Dale County (334) 255-7185
MRS. HOLLY MCMILLIAN KLICH LCSW
Social Worker (Clinical)
301 ANDREWS AVE.
FORT RUCKER, AL 36362
Dale County (800) 261-7193
MRS. MELISSA LINDSEY MOORE RN-BSN
Registered Nurse (Medical-Surgical)
301 ANDREWS AVE.
FT. RUCKER, AL 36362
Dale County (334) 255-7000
ASHLEY BARNES LPN
Licensed Practical Nurse
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC BUILDING
FORT RUCKER, AL 36362
Dale County (334) 255-7068
WALTER CASTLE LCSW, MCAP
Social Worker (Clinical)
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC RM F-123
FORT RUCKER, AL 36362
Dale County (334) 255-7797
DR. JERALD L JONES D.C.
Chiropractor
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, CHIROPRACTIC CLINIC
FT. RUCKER, AL 36362
Dale County (334) 225-7706
MIRIAM CRAIN PT
Physical Therapist
301 ANDREWS AVE.
FORT RUCKER, AL 36362
Dale County (800) 261-7193

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Lidl's NPI number?

The NPI number for Grace Lidl is 1710171673. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Where is Grace Lidl located?

Grace Lidl practices at 301 Andrews Ave. Lyster Army Health Clinic, Fort Rucker, AL 36362. The listed phone number is (334) 255-7040.

What is Grace Lidl's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Grace Lidl was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.