Healthcare Provider Details

I. General information

NPI: 1891794558
Provider Name (Legal Business Name): LYDIA N WRIGHT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2212 DELANEY AVE
WILMINGTON NC
28403-6011
US

IV. Provider business mailing address

2212 DELANEY AVE
WILMINGTON NC
28403-6011
US

V. Phone/Fax

Practice location:
  • Phone: 910-332-3660
  • Fax: 910-762-0569
Mailing address:
  • Phone: 910-332-3660
  • Fax: 910-762-0569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number36297
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number36297
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: