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Individual
LYDIA CHEN
Active
Individual
LYDIA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61350483
WA
225X00000X
Occupational Therapist
OT60469025
WA
363LG0600X
Gerontology Nurse Practitioner
AP70015412
WA
Other
Enumeration date
04/24/2012
Last updated
10/08/2025
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