Ballard, Lydia Rene

Ballard, Lydia Rene is an individual health care provider with primary practice located at 950 N Porter Ave Suite #300, Norman OK 73071-6400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ballard, Lydia Rene can be contacted via phone (405) 329-0121.

Contact Information

Primary practice address
950 N Porter Ave Suite #300 Norman OK 73071-6400
Phone: (405) 329-0121
Fax: (405) 292-6099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18425 Oklahoma

Profile Details

NPI number 1760483457
LBN Legal business name Ballard, Lydia Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760483457 NPPES
Oklahoma MEDICAID 100138140B
Oklahoma Other 110218258
Oklahoma Other 5222147

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