Individual
DR. LYDIA ELIZABETH MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1125 TREMONT ST, ROXBURY CROSSING, MA 02120-2178
(617) 427-1000
Mailing address
96 WESTCHESTER RD, JAMAICA PLAIN, MA 02130-3453
(617) 983-1851
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46569
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053377
—
MA
Enumeration date
07/11/2006
Last updated
07/08/2007
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