| NPI | 1528378817 |
|---|---|
| Professional Name | LYDIA PRUSINOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004156) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601005910) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2015-05-11 |