Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lidya H Wlasiuk, MD

Individual provider Family Medicine Physician · NPI 1003175910

Lidya H Wlasiuk, MD is a Family Practice in Boston, Massachusetts. Qualified in 2012, 14 years ago. Practices with Chapa-De Indian Health Program, Inc, a 53-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
14
Licensed in
CA, MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

850 Harrison Ave Yacc 5
Boston, MA 02118-4001
Phone: (617) 414-2080
Fax: (617) 414-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 207999 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 264803 (MA)

Record details

NPI number1003175910
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2012
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Chapa-De Indian Health Program, Inc. — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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