Individual
MS. LYDIA CHRISTINA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
36 WOODLAND WAY, REHOBOTH, MA 02769-1814
(508) 496-9220
(774) 565-0848
Mailing address
PO BOX 70, REHOBOTH, MA 02769-0070
(508) 496-9220
(774) 565-0848
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN20726
MA
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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