person
Mr. Edward Joseph Lydon, CO
Orthotist in Fairfield, California
NPI 1639180375

Edward Joseph Lydon is a Orthotist based in Fairfield, CA. Edward Joseph Lydon practices in Fairfield, CA and has the professional credentials of CO. The NPI Number for Edward Joseph Lydon is 1639180375 and holds a License No. CO1167 (California).

The current practice location address for Edward Joseph Lydon is 712 First Street, Fairfield, CA and can be reached out via phone at 707-428-3800 and via fax at 707-428-1444.

Location: 712 First Street, Fairfield, CA, 94533-4746
person
Provider Profile Details
NPI Number
1639180375
Provider Name
Edward Joseph Lydon
Credential
CO
Provider Entity Type
Individual
Gender
Male
Address
712 First Street, Fairfield, CA, 94533-4746
Phone Number
707-428-3800
Fax Number
707-428-1444
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XA0011670 05 CA
ZZZ85255Z 01 CA BLUE SHIELD/BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
712 First Street
City
State
Zip
94533-4746
Phone Number
707-428-3800
Fax Number
707-428-1444
person
Provider Business Mailing Address Details
Address
712 First Street
City
State
Zip
94533-4746
Phone Number
707-428-3800
Fax Number
707-428-1444
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
License No.
CO1167 ()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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