Individual
MS. GAIL ELIZABETH LYDON
Active
Individual
MS. GAIL ELIZABETH LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS CS
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
133541
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137934000
MAGELLAN
—
01
—
494280
TUFTS
—
01
—
70010000
BCBS
—
01
—
PN0069
BCBS
—
Enumeration date
12/26/2006
Last updated
09/04/2011
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