Individual provider · Type 1 NPI

Lydia Elizabeth Blais Federico, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1386497931 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Call (215) 662-2250 Map

Fax (215) 615-3995

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386497931

Lydia Elizabeth Blais Federico, MD's National Provider Identifier is 1386497931, issued on Apr 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 11, 2024.