| Lydia Green Md Inc | |
|
1600 W Avenue J Lancaster CA 93534-2814 | |
| (323) 691-1772 | |
| Not Available |
| Full Name | Lydia Green Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 1600 W Avenue J, Lancaster, California |
| Authorized Official Name and Position | Lydia Green (OWNER) |
| Authorized Official Contact | 3236911772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Green Md Inc 2851 W 120th St Ste E-134 Hawthorne CA 90250-3395 Ph: (323) 691-1772 | Lydia Green Md Inc 1600 W Avenue J Lancaster CA 93534-2814 Ph: (323) 691-1772 |
| NPI Number | 1861056228 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 09/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861056228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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