Individual
LYDIA KAY ANDAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
2220 SCHOFIELD RD, VIRGINIA BEACH, VA 23459
(757) 763-4059
Mailing address
400 DANDY LOOP RD, YORKTOWN, VA 23692-4513
(858) 945-3080
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
08/16/2019
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