Johnson, Lydia

Johnson, Lydia is an sole proprietor health care provider with primary practice located at 227 Babcock St , Brookline MA 02446-6773. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Lydia can be contacted via phone (585) 245-3784.

Contact Information

Primary practice address
227 Babcock St Brookline MA 02446-6773
Phone: (585) 245-3784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1164171179
LBN Legal business name Johnson, Lydia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2022
Last updated Dec 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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