Lydia Grace Moss, PA

NPI #1922253822 in La Grange, Kentucky

Provider Information

NPI Number
1922253822
Entity Type
Individual
Name
Lydia Grace Moss, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Nov 20, 2008
Last Updated
Nov 20, 2008

Practice Location

Address
1006 NEW MOODY LN
ZIP Code
40031-9122
Phone
(502) 222-0028

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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