Individual
DR. WILLIAM LYDIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-5048
(402) 354-2585
Mailing address
PO BOX 10190, VIRGINIA BEACH, VA 23450-0190
(800) 336-3038
(757) 463-6572
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
17965
NE
208600000X
Surgery Physician
Primary
17965
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025044400
—
NE
05
—
10026485711
—
NE
05
—
1578528055
—
IA
Enumeration date
04/19/2006
Last updated
01/22/2018
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