Individual
MRS. AISLING MARIE LYDEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
272 FOSTER ST, BRIGHTON, MA 02135-4622
(617) 290-2624
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
258570
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
LYD104320170
MA
Other
Enumeration date
01/16/2007
Last updated
05/25/2010
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