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NPI Code Detail

MEDICARE: DR. LYDIA LIANE AYE D.O.

MEDICARE: DR. LYDIA LIANE AYE D.O.
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
1207RG0100XGastroenterology Physician12843CA

General Provider Information

NPI Number : 1174744577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYDIA LIANE AYE D.O.
Provider Business Mailing Address
First Line : 4150 V ST STE 3500
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1460
Country : US
Telephone Number : 916-734-7224
Fax Number :
Provider Business Practice Location Address
First Line : 4301 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2214
Country : US
Telephone Number : 916-734-2011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 05/03/2023

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Directions to “ DR. LYDIA LIANE AYE D.O.” Practice Location

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