Individual provider · Type 1 NPI

Lydia Marie Mootz, PA-C

Physician Assistant · Madison, WI

NPI number 1386299402 Active

Practice location

700 S Park St Ste A
Madison, WI 53715-1830

Call (608) 260-2900 Map

Fax (608) 260-2961

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4848-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386299402

Lydia Marie Mootz, PA-C's National Provider Identifier is 1386299402, issued on Aug 6, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Madison, WI. The record was last updated on Oct 6, 2025.