Johnson, Lydia Jones

Johnson, Lydia Jones is an individual health care provider with primary practice located at 5201 Hickory Park Dr Ste A , Glen Allen VA 23059-2623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Johnson, Lydia Jones can be contacted via phone (804) 262-6060.

Contact Information

Primary practice address
5201 Hickory Park Dr Ste A Glen Allen VA 23059-2623
Phone: (804) 262-6060
Fax: (804) 262-6422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101230897 Virginia

Profile Details

NPI number 1679573745
LBN Legal business name Johnson, Lydia Jones
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jun 10th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679573745 NPPES
Virginia MEDICAID 005901952
Virginia Other 7214219
Virginia Other 070015801
Virginia Other 147156
Virginia Other 217925
Virginia Other 0300353

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