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

Lydia Alice Johnson

Individual provider Athletic Trainer · NPI 1235859778

Lydia Alice Johnson is an Athletic Trainer in Brockport, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

350 New Campus Dr
Brockport, NY 14420-2914
Phone: (585) 395-5374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 004486 (NY)

Record details

NPI number1235859778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022
Mailing address636 Park Hill Rd, Erin, NY 14838-9755

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