Individual provider · Type 1 NPI

Lydia Grace Blakely

Student in an Organized Health Care Education/Training Program · Roslindale, MA

NPI number 1477425866 Active

Practice location

780 American Legion Hwy
Roslindale, MA 02131-3908

Mailing address

58 Atherton Rd Apt 2
Brookline, MA 02446-2769

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 1477425866

Lydia Grace Blakely's National Provider Identifier is 1477425866, issued on Sep 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roslindale, MA. The record was last updated on Sep 23, 2025.