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NPI Code Detail

MEDICARE: MS. ANNE WOODWARD LYDON NP-C

MEDICARE: MS. ANNE WOODWARD LYDON NP-C
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
1363LF0000XFamily Nurse PractitionerSP005291BPA

General Provider Information

NPI Number : 1801199146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNE WOODWARD LYDON NP-C
Provider Business Mailing Address
First Line : 6 PATRIOT CIR
Second Line :
City : DEVON
State : PA
Zip : 19333-1221
Country : US
Telephone Number : 610-989-9292
Fax Number :
Provider Business Practice Location Address
First Line : 4610 CENTRE AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15213-1504
Country : US
Telephone Number : 412-683-8827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2010
Last Update Date : 05/17/2022

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