National Provider Identifier
Lydia Rose Hickson
Lydia Rose Hickson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ithaca, NY and a listed phone number of (607) 592-7777.
Profile Overview
- NPI
- 1982427381
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 04, 2024
- Last Updated
- November 04, 2024
Practice Location
- 310 Floral Ave Apt 502
- Ithaca, NY 14850-5056
Phone: (607) 592-7777
Mailing Address
- 562 Elm St
- Ithaca, NY 14850-3023
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1982427381
- Entity Type
- Individual
- Last Name
- Hickson
- First Name
- Lydia
- Middle Name
- Rose
- Mailing Street Address
- 562 Elm St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3023
- Mailing Country
- US
- Mailing Phone
- (607) 269-6244
- Practice Street Address
- 310 Floral Ave Apt 502
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5056
- Practice Country
- US
- Practice Phone
- (607) 592-7777
- Enumeration Date
- November 04, 2024
- Last Updated
- November 04, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)