Provider Demographics
NPI:1679986798
Name:LYDON, KATE ELIZABETH
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:ELIZABETH
Last Name:LYDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 JOLIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-1801
Mailing Address - Country:US
Mailing Address - Phone:207-740-8105
Mailing Address - Fax:
Practice Address - Street 1:8 JOLIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-1801
Practice Address - Country:US
Practice Address - Phone:207-740-8105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula