Individual
LYDIA ANNE HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3700 ROUTE 33, SUITE 101, NEPTUNE, NJ 07753
(732) 280-7855
Mailing address
16 JOHNSTON AVE, BRICK, NJ 08724
(732) 489-9828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
01/11/2024
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