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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1922035690 NPPES
New York MEDICAID 01816444
New York Other 4640733
New York Other 48G612

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