Provider Demographics
NPI:1780867515
Name:KROPIDLOWSKI, LYDIA (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:
Last Name:KROPIDLOWSKI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 W LINCOLN AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2936
Mailing Address - Country:US
Mailing Address - Phone:714-520-7300
Mailing Address - Fax:714-520-0883
Practice Address - Street 1:303 W LINCOLN AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-2936
Practice Address - Country:US
Practice Address - Phone:714-520-7300
Practice Address - Fax:714-520-0883
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-15
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16505363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health