Lydon, Eric

Lydon, Eric is an sole proprietor health care provider with primary practice located at 4010 Dupont Circle Suite 300 , Louisville KY 40207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lydon, Eric can be contacted via phone (502) 894-6066.

Contact Information

Primary practice address
4010 Dupont Circle Suite 300 Louisville KY 40207
Phone: (502) 894-6066
Fax: (502) 425-3741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01058495 Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 39958 Kentucky

Profile Details

NPI number 1609873579
LBN Legal business name Lydon, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Jan 15th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609873579 NPPES
Indiana MEDICAID 200339900A

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