Lydia Green MD INC

NPI #1861056228 in Lancaster, California

Provider Information

NPI Number: 1861056228
Entity Type: Organization
Organization Name: Lydia Green MD INC
Primary Specialty: General Practice
Enumeration Date: Apr 30, 2019
Last Updated: Sep 10, 2019

Practice Location

Address: 1600 W AVENUE J
City: Lancaster
State: California
ZIP Code: 93534-2814
Phone: (323) 691-1772

Authorized Official

Name: LYDIA GREEN, MD
Title: OWNER
Phone: (323) 691-1772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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