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Contact Information

DANIEL D LYDIATT, MD
8303 DODGE ST
OMAHA, NE68114-4108
 Phone: 402-354-5048
 Fax: 402-354-2585
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for DANIEL D LYDIATT · (Male)

NPI # 1417913302
Status Active
Credentials MD
Entity Individual
Enumeration date 04/21/2006
Last updated 12/13/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 16395
  • IA Medicaid 1417913302
  • NE Medicaid 10025044400
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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