Individual
LYDIA VIVIAN WOOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
337 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205
(800) 805-6989
Mailing address
230 NORFOLK AVE, EGG HARBOR CITY, NJ 08215-1326
(609) 536-5210
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
26NP49589200
NJ
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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