Individual
LYDIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2106 HARRISBURG PIKE # 1, LANCASTER, PA 17601-2644
(717) 291-5931
Mailing address
270 MERCHANT AVE APT J, MOUNT JOY, PA 17552-1185
(717) 727-5382
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP028199
PA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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