Lydia S Fulton (NPI# 1407180763, PAC ID# 1850430240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1407180763 |
| PAC ID by PECOS | 1850430240 |
| Professional Enrollment ID | I20170511001418 |
| Full Name | Lydia S Fulton |
| Organization Legal Name | BEAR LAKE PROFESSIONALS INC |
| Address |
41949 Big Bear Blvd Big Bear Lake CA 92315 |
| Phone Number | 9098783696 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4385945930 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 41949 Big Bear Blvd, Big Bear Lake, CA 92315 | 9098783696 | BEAR LAKE PROFESSIONALS INC |
| Organization Legal Name | BEAR LAKE PROFESSIONALS INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Lutz | Physician Assistant | Bear Lake Professionals Inc | 41949 Big Bear Blvd, Big Bear Lake, CA 92315 |
| Donald S Combs | Physician Assistant | Bear Lake Professionals Inc | 41949 Big Bear Blvd, Big Bear Lake, CA 92315 |
| Steven C Reiner | Family Practice | Bear Lake Professionals Inc | 41949 Big Bear Blvd, Big Bear Lake, CA 92315-2030 |
| Street Address |
41949 BIG BEAR BLVD |
| City | BIG BEAR LAKE |
| State | CA |
| Zip | 92315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Lutz | Physician Assistant | Bear Lake Professionals Inc | 41949 Big Bear Blvd, Big Bear Lake, CA 92315 |
| Donald S Combs | Physician Assistant | Bear Lake Professionals Inc | 41949 Big Bear Blvd, Big Bear Lake, CA 92315 |
| Steven C Reiner | Family Practice | Bear Lake Professionals Inc | 41949 Big Bear Blvd, Big Bear Lake, CA 92315-2030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald S Blustein | Psychiatry | Lutheran Social Services of Southern California | 41945 Big Bear Blvd, Big Bear Lake, CA 92315 |
| Cary C Stewart | Internal Medicine | Cary Stewart Md Inc | 41820 Garstin Dr, Big Bear Lake, CA 92315-0000 |
| Anna G Bedrossian | Optometry | 42002 Fox Farm Rd, Suite 100, Big Bear Lake, CA 92315-1553 | |
| Larry E Poland | Chiropractic | 41656 Big Bear Blvd, Poland Chiropractic, Big Bear Lake, CA 92315-2029 | |
| Sherrill Lynn Reynolds | Clinical Social Worker | 41945 Big Bear Blvd, Suite 227, Big Bear Lake, CA 92315-2030 | |
| Christopher H Fagan | Emergency Medicine | 41945 Big Bear Blvd, Suite 200, Big Bear Lake, CA 92315-2030 | |
| Stephanie L Mulick | Optometry | Ramin Tayani Md Inc | 41340 Big Bear Blvd, Big Bear Lake, CA 92315-2049 |
| Deanna L Sanchez | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 41870 Garstin Dr, Big Bear Lake, CA 92315-2088 |
| Keith C Errecart | Emergency Medicine | Bear Mountain Medical Services, A Medical Corporation | 41870 Garstin Dr, Big Bear Lake, CA 92315-2088 |
| Kelli C Gora | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 41870 Garstin Dr, Big Bear Lake, CA 92315-2088 |
| Find all physicians in zip 92315 | |||
| City | BIG BEAR LAKE |
| Zip Code | 92315 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BIG BEAR LAKE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lydia S Fulton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.