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Lydia Marie Green, MD
Adult Medicine Physician in Los Angeles, California
NPI 1952336752

Lydia Marie Green is an Adult Medicine Physician based in Hawthorne, CA and is specialized in Adult Medicine. Lydia Marie Green practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Lydia Marie Green is 1952336752 and holds a License No. A068297 (California).

The current practice location address for Lydia Marie Green is 6033 W Century Blvd Ste 200, Los Angeles, CA and can be reached out via phone at 323-691-1772.

Location: 6033 W Century Blvd Ste 200, Los Angeles, CA, 90250-3395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952336752
Provider Name
Lydia Marie Green
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6033 W Century Blvd Ste 200, Los Angeles, CA, 90250-3395
Phone Number
323-691-1772
Fax Number
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6033 W Century Blvd Ste 200
City
Los Angeles
State
California
Zip
90045-6440
Phone Number
323-691-1772
Fax Number
person
Provider Business Mailing Address Details
Address
6033 W Century Blvd Ste 200
City
Los Angeles
State
California
Zip
90045-6440
Phone Number
323-691-1772
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
A068297 (California)
Definition
Definition to come.
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