Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD JOSEPH LYDON, C.O.
ActiveMR. EDWARD JOSEPH LYDON, C.O. is a Orthotist healthcare provider located in FAIRFIELD, California. NPI 1639180375 is currently active in the NPPES registry. Verify at CMS.
Orthotist · FAIRFIELD, CA
Registration Details
- NPI Number
- 1639180375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (20.054672256811 yrs)
- Last Updated
- Jul 8, 2007
- License
-
CO1167
Practice Information
- Address
-
712 FIRST STREETFAIRFIELD, CA, 945334746Browse CA providers · Browse ZIP 94533
- Phone
- 7074283800
- Fax
- 7074281444
- Primary Specialty
-
Orthotist
222Z00000X
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.