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Individual
MS. LYDIA SCOTT SWEATT
Active
Individual
MS. LYDIA SCOTT SWEATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C, L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA22695
FL
363A00000X
Physician Assistant
Primary
PA110283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021017100
—
FL
01
—
IZ318Z
MEDICARE PTAN
—
Enumeration date
04/19/2007
Last updated
07/07/2017
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