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

LYDIA JOHNSON

Active Sole Proprietor

LYDIA JOHNSON is a Physician Assistant healthcare provider located in BROOKLINE, Massachusetts. NPI 1164171179 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BROOKLINE, MA

Registration Details

NPI Number
1164171179
Provider Type
Individual
Gender
Female
NPI Issued
Mar 18, 2022 (4.3770275598699 yrs)
Last Updated
Dec 12, 2022
Sole Proprietor
Yes

Practice Information

Address
227 BABCOCK ST
BROOKLINE, MA, 024466773
Browse MA providers · Browse ZIP 02446
Phone
5852453784
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BROOKLINE, MA

Name Credential NPI
MARIE LOUISE CAMPOBELLO PA-C 1922195478
MR. SEAN NICHOLAS PACHECO PHYSICIAN ASSISTANT 1740312735
MRS. MEGAN COX WEBB PA-C 1679607774
BLAKELY ANN PLASTER PA-C 1194055327
MR. JEFFREY A LUCAK PA-C 1366791733
KERRI DUPRE ATC, AEMT 1144640012
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.