Individual provider · Type 1 NPI

Lydia Rose Mangan, PA-C

Medical Physician Assistant · Indianapolis, IN

NPI number 1992282511 Active

About NPI 1992282511

Lydia Rose Mangan, PA-C's National Provider Identifier is 1992282511, issued on Jul 26, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 20, 2022.