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Individual

DR. ERIC LYDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4010 DUPONT CIRCLE SUITE 300, LOUISVILLE, KY 40207
(502) 894-6066
(502) 425-3741
Mailing address
4010 DUPONT CIRCLE SUITE 300, LOUISVILLE, KY 40207
(502) 894-6066
(502) 425-3741

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01058495
IN
2084P0800X
Psychiatry Physician
Primary
39958
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200339900A
IN
Enumeration date
07/07/2005
Last updated
01/15/2020
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