Grant, Lydia T

Grant, Lydia T is an sole proprietor health care provider with primary practice located at 1140 Main St , Livingston CA 95334-1257. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grant, Lydia T can be contacted via phone (209) 394-7075.

Contact Information

Primary practice address
1140 Main St Livingston CA 95334-1257
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8657 California

Profile Details

NPI number 1740457761
LBN Legal business name Grant, Lydia T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2008
Last updated May 8th, 2008 - about 18 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 1740457761 NPPES
California Other 8657 FNP NUMBER

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