MS. LYDIA KAY WILSON GNP NPI 1093729824

NPI Information

MS. Lydia Kay Wilson, GNP is a gerontology nurse practitioner in Reseda, CA with 24 years of experience. MS. Lydia Kay Wilson, GNP NPI is 1093729824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18855 VICTORY BLVD
ATTN: BILLING DEPARTMENT
RESEDA, CA
ZIP 91335-445
Phone: (818) 774-3354
Fax: (818) 757-4401

The NPI 1093729824 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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