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NPI Code Detail

MEDICARE: LYDIA DUGAN

MEDICARE: LYDIA DUGAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1235093246
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA DUGAN
Provider Business Mailing Address
First Line : 3620 N BEACH CLUB CIR
Second Line :
City : WICHITA
State : KS
Zip : 67205-2537
Country : US
Telephone Number : 316-214-4827
Fax Number :
Provider Business Practice Location Address
First Line : 1111 W 17TH ST
Second Line :
City : TULSA
State : OK
Zip : 74107-1886
Country : US
Telephone Number : 918-582-1972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2025
Last Update Date : 12/13/2025

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Directions to “ LYDIA DUGAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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