Lydia Christina Costa, LPN
Individual provider Active NPI Licensed Practical Nurse · Rehoboth, MA
NPI 1265718902 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1265718902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LN20726 (MA)
- Practice address
- 36 Woodland Way
Rehoboth, MA 02769-1814 - Phone
- (508) 496-9220
- Fax
- (774) 565-0848
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN20726 | MA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN20726 | MA | Yes |
Addresses
Primary practice location
36 Woodland Way
Rehoboth, MA 02769-1814
Mailing address
PO Box 70
Rehoboth, MA 02769-0070
Phone (508) 496-9220
Other providers in Rehoboth, MA
- Alyssa Champion
- Edward George Chernesky
- Circle of Life Adult Foster Care LLC
- Richard M Cohen
- Jaime Conlon
- Christopher M Covello
- Crausman Medical Associates LLC
- Alyssa Damiano
- Kathleen Darowski
- Jaden Reign Deblois
All providers in Rehoboth, MA · Licensed Practical Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.