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1952336752
LYDIA MARIE GREEN
LOS ANGELES, CA
NPI
1952336752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: CA A068297)
Enumeration Date
2006-07-11
Last Update Date
2018-09-17
Business Address
LYDIA MARIE GREEN M.D.
6033 W CENTURY BLVD STE 200
LOS ANGELES, CA 90045-6440
Phone number: 323-691-1772
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Mailing Address
LYDIA MARIE GREEN M.D.
2851 W 120TH ST STE E-134
HAWTHORNE, CA 90250-3395
Phone number: 323-691-1772
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