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Individual

DR. JOHN MANNING LYDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1680 EAGLE HARBOR PKWY STE A, FLEMING ISLAND, FL 32003-4821
(904) 264-9555
(904) 215-7960
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01072898A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
ME145018
FL

Other

Enumeration date
06/07/2011
Last updated
06/23/2023
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