Lydic, Michael L
Lydic, Michael L is an individual health care provider with primary practice located at 10777 Nall Ave Suite 200, Overland Park KS 66211-1362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Lydic, Michael L can be contacted via phone (913) 588-2229.Contact Information
Primary practice address
10777 Nall Ave Suite 200
Overland Park KS 66211-1362
Phone: (913) 588-2229
Fax: (913) 588-6258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 209845 | New York |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 04-38611 | Kansas |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 2015041854 | Missouri |
Profile Details
| NPI number | 1922035690 |
|---|---|
| LBN Legal business name | Lydic, Michael L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Mar 30th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922035690 | NPPES |
| New York | MEDICAID | 01816444 | |
| New York | Other | 4640733 | |
| New York | Other | 48G612 |
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