Provider Demographics
NPI:1497243398
Name:OELSCHLAEGER, LYDIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:
Last Name:OELSCHLAEGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13855 CREIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-3316
Mailing Address - Country:US
Mailing Address - Phone:713-898-6926
Mailing Address - Fax:
Practice Address - Street 1:13855 CREIGHTON RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-3316
Practice Address - Country:US
Practice Address - Phone:713-898-6926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX914307163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty