MISS Lydia Grace Nelson, PA-C

NPI #1982322079 in Indianapolis, Indiana

Provider Information

NPI Number: 1982322079
Entity Type: Individual
Name: MISS Lydia Grace Nelson, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 16, 2022
Last Updated: Sep 25, 2025

Practice Location

Address: 720 ESKENAZI AVE
City: Indianapolis
State: Indiana
ZIP Code: 46202-5187
Phone: (317) 880-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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