Michelle M Lydston, PA-C

NPI #1194746222 in Everett, Washington

Provider Information

NPI Number: 1194746222
Entity Type: Individual
Name: Michelle M Lydston, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 22, 2006
Last Updated: Jun 16, 2021

Practice Location

Address: 12800 BOTHELL EVERETT HWY
City: Everett
State: Washington
ZIP Code: 98208
Phone: (425) 316-5150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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