Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lydia Rose Mangan, PA-C

Individual provider Medical Physician Assistant · NPI 1992282511

Lydia Rose Mangan, PA-C is a Medical Physician Assistant in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8402 Harcourt Rd Ste 100
Indianapolis, IN 46260
Phone: (317) 338-7674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10002502A (IN)

Record details

NPI number1992282511
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2018
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022

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