LYDIA GRACE NELSON

INDIANAPOLIS, IN
NPI1982322079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-08-16
Last Update Date2023-07-06
Business Address
Miss LYDIA GRACE NELSON PA-C
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202-5187
Phone number: 317-880-6900
Mailing Address
Miss LYDIA GRACE NELSON PA-C
2100 S WIGGINS AVE
SPRINGFIELD, IL 62704-4379
Phone number: 217-836-8190