LYDIA STOUT

ROCHESTER, NY
NPI1740742980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NY  23585)
Enumeration Date2019-04-05
Last Update Date2024-12-02
Business Address
LYDIA STOUT PA
777 CANAL VIEW BLVD
ROCHESTER, NY 14623-2825
Phone number: 585-244-3430
Mailing Address
LYDIA STOUT PA
777 CANAL VIEW BLVD
ROCHESTER, NY 14623-2825
Phone number: 585-244-3430