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LYDIA LEE DALEY PMHNP, BC

Psychiatric/Mental Health, Adult >> Clinical Nurse Specialist >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1245385855

Individual Registrant:
 LYDIA LEE DALEY PMHNP, BC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
223 N. ANDERSON DRIVE  SWAINSBORO, GA 30401 US
Tel: 478-289-2530  Fax: 478-289-2532

Contact information for business:
P O BOX 1259 223 N. ANDERSON DRIVE SWAINSBORO, GA 30401 US
Tel: --  Fax: --

Registration Information:
NPI: 1245385855
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N364SP0809XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Psychiatric/Mental Health, Adult
GARN048295
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN048295

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1952451262GA05
000606383BGA05




HEALTH CARE JOBS GA - Page 1



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