Individual
LYDIA IGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BROOKS PARK APT 12, MEDFORD, MA 02155-4554
(651) 219-9911
Mailing address
25 BROOKS PARK APT 12, MEDFORD, MA 02155-4554
(857) 303-3808
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2304421
MA
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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