Provider Demographics
NPI:1255678314
Name:ADAMS, LYDIA P (BSN, RNC, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:P
Last Name:ADAMS
Suffix:
Gender:F
Credentials:BSN, RNC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 DORA MOORS LN
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-8766
Mailing Address - Country:US
Mailing Address - Phone:267-972-5123
Mailing Address - Fax:302-544-4033
Practice Address - Street 1:721 DORA MOORS LN
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-8766
Practice Address - Country:US
Practice Address - Phone:267-972-5123
Practice Address - Fax:302-544-4033
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA11267664163WL0100X
PARN502831L163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn