LYDIA MARIE GREEN M.D. NPI 1952336752

NPI Information

Lydia Marie Green, M.D. is an adult medicine family medicine in Los Angeles, CA with 27 years of experience. The provider is definition to come. Lydia Marie Green, M.D. NPI is 1952336752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

6033 W CENTURY BLVD STE 200
LOS ANGELES, CA
ZIP 90045-440
Phone: (323) 691-1772

The NPI 1952336752 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 7/11/2006 and was last updated on 9/17/2018.

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:

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