Lydon's Orthotic Service

NPI #1861405516 in Fairfield, California

Provider Information

NPI Number: 1861405516
Entity Type: Organization
Organization Name: Lydon's Orthotic Service
Primary Specialty: Orthotist
Enumeration Date: Aug 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1200 WESTERN STREET
Address 2: SUITE B
City: Fairfield
State: California
ZIP Code: 94533-2474
Phone: (707) 428-1705

Authorized Official

Name: MR. EDWARD JOSEPH LYDON, C.O.
Title: OWNER
Phone: (707) 428-1705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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Provider Name	Specialty	City
MR. Edward Joseph Lydon, C.O.	Orthotist	Fairfield	AI Deep Dive
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