Individual
LYDIA PLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 S HARRISON ST, EAST ORANGE, NJ 07018-1748
(973) 324-7891
Mailing address
86 S HARRISON ST, EAST ORANGE, NJ 07018-1748
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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