Lydia Kay Andaya, IDC
Military Health Care Provider, Independent Duty Corpsman in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1376946897
StatusActive
Last updated in NPPESAug 16, 2019
Details
- NPI
- 1376946897
- Entity type
- Individual (NPI-1)
- Name
- Lydia Kay Andaya
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2014
- Last updated
- Aug 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
| 171000000X | Military Health Care Provider | – | – |
Other names
- Lydia Kay Wills (Former Name)
Practice location
2220 Schofield RdVirginia Beach, VA 23459
Phone 757-763-4059
Mailing address
400 Dandy Loop RdYorktown, VA 23692-4513
Phone 858-945-3080
Other practice locations
Uss Higgins Ddg-76
Fpo, AP 96667-1291
Fpo, AP 96667-1291
Phone 619-556-4528
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