Individual
LYDIA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 W DAYTON ST, CEDAR RAPIDS, NE 68627-5559
(308) 358-0640
Mailing address
3824 170TH AVE, CEDAR RAPIDS, NE 68627-5525
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
81291
NE
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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