# LYDIA ELLIOTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275916058
- **Gender:** F
- **Credential:** APRN-CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 19531 | SC | Yes |
| 367A00000X | Advanced Practice Midwife | RN294300 | GA | — |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 05/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300034164A | — | GA |
| 01 | — | GRP3569 | MEDICARE OPT-OUT | GA |