Moss, Lydia Grace

Moss, Lydia Grace is an individual health care provider with primary practice located at 1006 New Moody Ln , La Grange KY 40031-9122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moss, Lydia Grace can be contacted via phone (502) 222-0028.

Contact Information

Primary practice address
1006 New Moody Ln La Grange KY 40031-9122
Fax: (502) 222-0029
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC069 Kentucky

Profile Details

NPI number 1922253822
LBN Legal business name Moss, Lydia Grace
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2008
Last updated Nov 20th, 2008 - about 17 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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