Daley, Lydia Lee

Daley, Lydia Lee is an individual health care provider with primary practice located at 223 N. Anderson Drive , Swainsboro GA 30401. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Daley, Lydia Lee can be contacted via phone (478) 289-2530.

Contact Information

Primary practice address
223 N. Anderson Drive Swainsboro GA 30401
Phone: (478) 289-2530
Fax: (478) 289-2532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X RN048295 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN048295 Georgia

Profile Details

NPI number 1245385855
LBN Legal business name Daley, Lydia Lee
Credentials PMHNP, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 29th, 2012 - about 13 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 1245385855 NPPES
Georgia MEDICAID 1952451262
Georgia MEDICAID 000606383B

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