NPI 1164171179

Lydia Johnson

Practitioner Physician Assistant Brookline, MA

Practice location

Address: 227 Babcock St, Brookline, MA 02446-6773
Phone: (585) 245-3784
Mailing address: 3 Seminole Ave, Geneseo, NY 14454-9509

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1164171179
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2022
Record last updated: 12 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.