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

LYDIA ALICE JOHNSON

Active

LYDIA ALICE JOHNSON is a Athletic Trainer healthcare provider located in BROCKPORT, New York. NPI 1235859778 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BROCKPORT, NY

Registration Details

NPI Number
1235859778
Provider Type
Individual
Gender
Female
NPI Issued
Sep 2, 2022 (3.8046872885764 yrs)
Last Updated
Sep 2, 2022
License
004486 (NY)

Practice Information

Address
350 NEW CAMPUS DR
BROCKPORT, NY, 144202914
Browse NY providers · Browse ZIP 14420
Phone
5853955374
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BROCKPORT, NY

Name Credential NPI
MRS. LINDA D HEINTZ MS 1477512358
MR. LEE JAMES COHEN MS,ATC 1659322063
SUSAN MARY WIELGOSZ ATC 1720018385
MRS. AMBER MARIE NICHOLS MS, ATC, PES 1124248976
JASON WENTWORTH ATC, CSCS 1689173932
DR. TIMOTHY JAMES HENRY PHD, ATC 1871124271
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.