Provider Demographics
NPI:1821782434
Name:HEARN, LYDIA GALE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LYDIA
Middle Name:GALE
Last Name:HEARN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:394 CROSS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16693-6606
Mailing Address - Country:US
Mailing Address - Phone:814-515-4538
Mailing Address - Fax:
Practice Address - Street 1:4745 OGLETOWN STANTON RD STE 106
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-1339
Practice Address - Country:US
Practice Address - Phone:302-454-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant