Individual
LYDIA ROSE ELISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2151
(413) 582-2838
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2151
(413) 582-2838
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
240227
MA
Other
Enumeration date
07/15/2009
Last updated
03/05/2015
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