Provider Demographics
NPI:1679371264
Name:THOMPSON, LYDIA ACCURSIA
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:ACCURSIA
Last Name:THOMPSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 BLAIR MILL WAY APT 1004E
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-6868
Mailing Address - Country:US
Mailing Address - Phone:804-317-5444
Mailing Address - Fax:
Practice Address - Street 1:8010 BLAIR MILL WAY APT 1004E
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-6868
Practice Address - Country:US
Practice Address - Phone:804-317-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC02132025-6374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula