Individual
LYDIA DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1328 BURCHETT DR, CLARKSVILLE, TN 37042-6767
(615) 972-5395
Mailing address
1328 BURCHETT DR, CLARKSVILLE, TN 37042-6767
(615) 972-5395
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-49712
TN
174N00000X
Lactation Consultant (Non-RN)
Primary
L-49712
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250921
TN BOARD OF NURSING
TN
01
—
L-49712
IBLCE
—
Enumeration date
12/28/2019
Last updated
01/19/2022
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