Active NPIIndividual providerSole proprietor

Lydia Johnson

Physician Assistant in Brookline, Massachusetts

NPI Number1164171179
Practice location
227 Babcock St, Brookline, MA 02446-6773
Fax
—
Last updated
December 12, 2022

Lydia Johnson is a Physician Assistant based in Brookline, MA. Lydia Johnson practices in Brookline, MA. The NPI Number for Lydia Johnson is 1164171179. The current practice location address for Lydia Johnson is 227 Babcock St, Brookline, MA 02446-6773 and can be reached out via phone at 585-245-3784.

Provider Profile Details

NPI Number
1164171179
Provider Name
Lydia Johnson
Provider Entity Type
Individual
Gender
Female
Address
227 Babcock St, Brookline, MA 02446-6773
Phone Number
585-245-3784
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 18, 2022
Last Update Date
December 12, 2022
Certification Date
December 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
227 Babcock St
Brookline, MA 02446-6773
Zip
02446-6773
Phone Number
585-245-3784
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
3 Seminole Ave
Geneseo, NY 14454-9509
City
Geneseo
State
NY
Zip
14454-9509
Phone Number
585-245-3784

License Information

Taxonomy (1)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lydia Johnson?

The NPI number of Lydia Johnson is 1164171179. It was assigned on March 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Lydia Johnson?

Lydia Johnson is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Lydia Johnson practice?

The practice location is 227 Babcock St, Brookline, MA 02446-6773. The office can be reached at 585-245-3784 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164171179 directly on the NPPES registry website.

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