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Individual
DR. JOHN PATRICK LYDON
Active
Individual
DR. JOHN PATRICK LYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00580
MD
213E00000X
Podiatrist
PC333
DC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13310001
BCBS
DC
01
—
13310001
BCBS
MD
01
—
330991
ALLIANCE
MD
05
—
419588400
—
MD
Enumeration date
10/25/2005
Last updated
10/22/2018
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