Individual
DR. JOHN PATRICK LYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12417 OCEAN GTWY STE A6, OCEAN CITY, MD 21842-9521
(443) 664-7253
Mailing address
10310 THIRTY KNOTS LN, BERLIN, MD 21811-3406
(301) 518-0858
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00580
MD
213E00000X
Podiatrist
PC333
DC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13310001
BCBS
DC
01
—
13310001
BCBS
MD
01
—
330991
ALLIANCE
MD
05
—
419588400
—
MD
Enumeration date
10/25/2005
Last updated
10/22/2018
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