DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LIDIA S POMAVILLE, PA-C

Active

MS. LIDIA S POMAVILLE, PA-C is a Physician Assistant healthcare provider located in BERWYN, Illinois. NPI 1144595174 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BERWYN, IL

Registration Details

NPI Number
1144595174
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2012 (14.398708981581 yrs)
Last Updated
Feb 23, 2021
License
085-004255 (IL)

Practice Information

Address
3253 S HARLEM AVE
SUITE 1A
BERWYN, IL, 604023073
Browse IL providers · Browse ZIP 60402
Phone
2628984400
Fax
7087886884
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BERWYN, IL

Name Credential NPI
MRS. CELESIA LEONARD PA-C 1609878370
MR. FRANK R PEREZ PA-C 1063409035
ELLEN HARRIS PA 1619998895
MARGARET CHAO PA 1780889238
MUSTAFA ZAKARIA PA-C 1356712558
MICHAEL MESIROW PA-C 1487150629
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.