Individual
LYDIA FENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 NOLTE DR, KITTANNING, PA 16201-7111
(724) 543-8657
Mailing address
610 GREENLEAF DR, MONROEVILLE, PA 15146-1153
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
02/14/2022
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