Search › California › 363A00000X
Lydia O'Bannon, PA-C
NPI 1770911620 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2170 South Ave
South Lake Tahoe, CA 96150 - Phone
- (530) 543-5554
- Fax
- (530) 541-3016
- Organisation at this address
- Brian Hunt, Md, Inc
James J Lynch Md Ltd
Diane G. Oliver, M.D.
Barton Healthcare System
Barton Healthcare SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 97
Additional practice sites
- 212 Elks Point Rd Ste 200, Zephyr Cove, NV
- 935 Mica Dr Ste 13, Carson City, NV
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California