Lydia Rose Hickson

NPI #1982427381 in Ithaca, New York

Provider Information

NPI Number
1982427381
Entity Type
Individual
Name
Lydia Rose Hickson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Nov 4, 2024
Last Updated
Nov 4, 2024

Practice Location

Address
310 FLORAL AVE APT 502
City
Ithaca
ZIP Code
14850-5056
Phone
(607) 592-7777

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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