# DR. LYDIA HEATHER KNUTSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134396344
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2599 | MA | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 06/20/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000Q00724 | BLUECROSS BLUESHIELD | MA |