MEDICARE: LYDIA ANIMOS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1023981818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYDIA ANIMOS

Provider Business Mailing Address
First Line	:	2177 BUCKINGHAM RD # 483
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-5484
Country	:	US
Telephone Number	:	945-312-2396
Fax Number	:

Provider Business Practice Location Address
First Line	:	2177 BUCKINGHAM RD # 483
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-5484
Country	:	US
Telephone Number	:	945-312-2396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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Directions to “ LYDIA ANIMOS ” Practice Location

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