# DR. CLAY EARL LYDDANE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760641476
- **Gender:** Man
- **Credential:** MD PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 04-35145 | KS | Yes |
| 208800000X | Urology Physician | DR.0072509 | CO | — |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 08/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200740730A | — | KS |