Lydia Marie Naylor, RN
Individual provider Active NPI Registered Nurse · Lake Park, GA
NPI 1922538560 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1922538560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN051248 (GA)
- Practice address
- 4287 Dasher Rd
Lake Park, GA 31636-4607 - Phone
- (229) 300-0160
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN051248 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN051248 | GA | Yes |
Addresses
Primary practice location
4287 Dasher Rd
Lake Park, GA 31636-4607
Mailing address
4287 Dasher Rd
Lake Park, GA 31636-4607
Phone (229) 300-0160
Other providers in Lake Park, GA
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- Margarita Lepe
- Migrant Farmworkers Clinic Inc
- Amanda Chae Morgan
- Brandy Lynn Murray
- New Foundations Youth Center, Inc
- Nina'S Legacy Home Care LLC
- Sheila Michele Nobles
- Michael Hugh Parker
- Lauren Pearce
All providers in Lake Park, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.