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Lydon's Orthotic Service
Orthotist in Fairfield, California
NPI 1861405516

Lydon's Orthotic Service is a Orthotist based in Fairfield, CA. Lydon's Orthotic Service practices in Fairfield, CA. The NPI Number for Lydon's Orthotic Service is 1861405516 and holds a License No. CO1167 (California).

The current practice location address for Lydon's Orthotic Service is 1200 Western Street, Fairfield, CA and can be reached out via phone at 707-428-1705 and via fax at 707-428-1733.

Location: 1200 Western Street, Fairfield, CA, 94533-2474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861405516
Provider Name
Lydon's Orthotic Service
Credential
Provider Entity Type
Organization
Address
1200 Western Street, Fairfield, CA, 94533-2474
Phone Number
707-428-1705
Fax Number
707-428-1733
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XA0011670 05 CA
ZZZ66766Z 01 CA BLUE SHIELD/BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1200 Western Street
City
Fairfield
State
California
Zip
94533-2474
Phone Number
707-428-1705
Fax Number
707-428-1733
person
Provider Business Mailing Address Details
Address
1200 Western Street
City
Fairfield
State
California
Zip
94533-2474
Phone Number
707-428-1705
Fax Number
707-428-1733
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
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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