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Contact Information

MICHAEL L LYDIC, MD
10777 NALL AVE
SUITE 200
OVERLAND PARK, KS66211-1362
 Phone: 913-588-2229
 Fax: 913-588-6258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MICHAEL L LYDIC · (Male)

NPI # 1922035690
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2006
Last updated 03/30/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-38611
  • MO License # 2015041854
  • NY License # 209845
  • NY Medicaid 01816444
  • NY Other 4640733 AETNA
  • NY Other 48G612 EMPIRE BC.BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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