Individual
LYDIA HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1276 GILBREATH DR, JOHNSON CITY, TN 37614-6503
(423) 439-5955
Mailing address
1276 GILBREATH DR, JOHNSON CITY, TN 37614-6503
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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