Edward Joseph Lydon in Fairfield - Orthotist
Edward Joseph Lydon - NPI 1639180375
Edward Joseph Lydon is a Orthotist in Fairfield, California. Edward Joseph Lydon practices all healthcare services and medical treatments related to Orthotist. The NPI Number for Edward Joseph Lydon is 1639180375. The last update date is 2007-07-08.
Edward Joseph Lydon's current location address is 712 First Street, Fairfield, California. You can contact this provider via phone number 7074283800 and fax number 7074281444. The mailing address for Edward Joseph Lydon is 712 First Street, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Joseph Lydon |
|---|---|
| Address | 712 First Street, Fairfield, California |
| Phone Number | 7074283800 |
| Fax Number | 7074281444 |
| Sole Proprietor | N |
| Credentials | C.O. |
NPI Number Detail
| NPI Number | 1639180375 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 712 First Street |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945334746 |
| Phone Number | 7074283800 |
| Fax Number | 7074281444 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotist |
|---|---|
| Taxonomy | 222Z00000X |
| Licence No | CO1167 |
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Definition: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| XA0011670 | CA | -- | |
| ZZZ85255Z | CA | BLUE SHIELD/BLUE CROSS |
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What is the unique identifier code issued to Edward Joseph Lydon by the Centers for Medicare & Medicaid Services?
The Edward Joseph Lydon has been assigned the NPI (National Provider Identifier) 1639180375. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edward Joseph Lydon located?
The Edward Joseph Lydon is located at 712 First Street, Fairfield, CA 945334746.
What is the Edward Joseph Lydon's area of specialization and corresponding taxonomy classification?
The Edward Joseph Lydon's specialty field is Orthotist, and it falls under the taxonomy code 222Z00000X, which categorizes healthcare providers based on their specialties.
When did Edward Joseph Lydon receive its 1639180375 assignment?
The Edward Joseph Lydon was assigned its 1639180375 on 2006-08-10, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Edward Joseph Lydon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward Joseph Lydon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.