| NPI | 1396200481 |
|---|---|
| Former Name | LYDIA M LAKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 024164) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013706) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024164) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-04-03 |