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NPI Code Detail

MEDICARE: LYDIA ANDERSON COOLS CNM

MEDICARE:   LYDIA ANDERSON COOLS  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwifeF002101NY
2176B00000XMidwifeMW010659PA

General Provider Information

NPI Number : 1881364347
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA ANDERSON COOLS CNM
Provider Business Mailing Address
First Line : 1110 ROCKLAND ST
Second Line :
City : READING
State : PA
Zip : 19604-1501
Country : US
Telephone Number : 610-988-4838
Fax Number :
Provider Business Practice Location Address
First Line : 1110 ROCKLAND ST
Second Line :
City : READING
State : PA
Zip : 19604-1501
Country : US
Telephone Number : 610-988-4838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 05/27/2026

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