Individual
DR. PAUL MATTHEW LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1186 CHURCH STREET, MOSCOW, PA 18444
(570) 842-5131
(570) 842-5126
Mailing address
1186 CHURCH STREET, MOSCOW, PA 18444
(570) 558-1855
(570) 558-1856
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008039L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015959670001
—
PA
Enumeration date
07/20/2006
Last updated
02/15/2011
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