Individual
LYDIA G SLAVISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 OLD FERN HILL RD., BLDG. D, SUITE 600, WEST CHESTER, PA 19380
(610) 692-3434
(610) 692-9005
Mailing address
915 OLD FERN HILL RD., BLDG. D, SUITE 600, WEST CHESTER, PA 19380
(610) 692-3434
(610) 692-9005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD044044E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012179160010
—
PA
01
—
2813313
AETNA
PA
01
—
461735
BCBC
PA
Enumeration date
11/30/2005
Last updated
10/09/2008
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