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Individual

DR. CLAY EARL LYDDANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9185
(316) 689-9909
Mailing address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9185
(316) 689-9909

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200740730A
KS
Enumeration date
06/06/2008
Last updated
08/01/2025
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