Active NPIIndividual provider

Lydia R Vollavanh, ATC

Specialist/Technologist, Athletic Trainer in Millburn, New Jersey

NPI Number1215313119
Practice location
54 Cedar St, Millburn, NJ 07041-2002
Fax
—
Last updated
August 3, 2015

Lydia Rutledge Vollavanh is a Specialist/Technologist, Athletic Trainer based in Millburn, NJ. Lydia Rutledge Vollavanh practices in Millburn, NJ and has the professional credentials of ATC. The NPI Number for Lydia Rutledge Vollavanh is 1215313119. The current practice location address for Lydia Rutledge Vollavanh is 54 Cedar St, Millburn, NJ 07041-2002 and can be reached out via phone at 973-376-1263.

Provider Profile Details

NPI Number
1215313119
Provider Name
Lydia Rutledge Vollavanh
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
54 Cedar St, Millburn, NJ 07041-2002
Phone Number
973-376-1263
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2015
Last Update Date
August 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Cedar St
Millburn, NJ 07041-2002
Zip
07041-2002
Phone Number
973-376-1263
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
54 Cedar St
Millburn, NJ 07041-2002
City
Millburn
State
NJ
Zip
07041-2002

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 R Vollavanh, ATC?

The NPI number of Lydia R Vollavanh, ATC is 1215313119. It was assigned on August 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Lydia R Vollavanh, ATC?

Lydia R Vollavanh, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Lydia R Vollavanh, ATC practice?

The practice location is 54 Cedar St, Millburn, NJ 07041-2002. The office can be reached at 973-376-1263 (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 1215313119 directly on the NPPES registry website.

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