Harris, Lydia J.
Harris, Lydia J. is an individual health care provider with primary practice located at 4750 Waters Ave Suite 206, Savannah GA 31404-6200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Harris, Lydia J. can be contacted via phone (912) 350-9380.Contact Information
Primary practice address
4750 Waters Ave Suite 206
Savannah GA 31404-6200
Phone: (912) 350-9380
Fax: (912) 350-5930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | RN081306 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 2451 | Wisconsin |
Profile Details
| NPI number | 1609830884 |
|---|---|
| LBN Legal business name | Harris, Lydia J. |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jan 14th, 2020 - about 4 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 | 1609830884 | NPPES |
| Georgia | MEDICAID | 32869766A |
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