National Provider Identifier
Lydia M Prospero, PA-C
Lydia M Prospero, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 244-3430.
Source: public NPPES record, last updated April 10, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1740742980
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- April 05, 2019
- Last Updated
- April 10, 2025
Practice Location
- 777 Canal View Blvd
- Rochester, NY 14623-2825
Phone: (585) 244-3430
Specialties
- Medical Physician Assistant (363AM0700X)
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Biography
Lydia Prospero, PA-C, is a physician assistant based in Rochester, New York. I could not identify a reliable public health-system, faculty, training, or practice profile with additional distinguishing background details.
Full Record
- NPI
- 1740742980
- Entity Type
- Individual
- Last Name
- Prospero
- First Name
- Lydia
- Middle Name
- M
- Credential
- PA-C
- Provider Other Last Name
- Stout
- Provider Other First Name
- Lydia
- Provider Other Middle Name
- M
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 777 Canal View Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2825
- Mailing Country
- US
- Mailing Phone
- (585) 244-3430
- Practice Street Address
- 777 Canal View Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2825
- Practice Country
- US
- Practice Phone
- (585) 244-3430
- Enumeration Date
- April 05, 2019
- Last Updated
- April 10, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 10, 2025
- Taxonomies
- Medical Physician Assistant (363AM0700X)