Individual
MALINDA J LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3941 J ST, SUITE 270, SACRAMENTO, CA 95819-3628
(916) 733-6850
(916) 733-6824
Mailing address
3941 J ST, SUITE 270, SACRAMENTO, CA 95819-3628
(916) 733-6850
(916) 733-6824
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA15482
—
CA
Enumeration date
05/12/2006
Last updated
06/14/2012
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