Lydia O. Crane
Family Doctor
1220 N Highway A1a Suite 147
Indialantic
, Florida 32903-2848
Lydia O. Crane
Family Doctor
1220 N Highway A1a Suite 147
Indialantic
, Florida 32903-2848
(321) 951-7408
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Lydia O. Crane
- 3300 S Fiske Blvd
- Rockledge, FL
- Zip : 32955-4306
- Fax : (321) 951-7408
- Phone : (321) 984-1333
Second Address
- Lydia O. Crane
- 1220 N Highway A1a Suite 147
- Indialantic, FL
- Zip : 32903-2848
- Fax : (321) 951-9127
- Phone : (321) 984-1333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | ME78798 | FL |
National Provider Identifier
| NPI | 1003806522 |
|---|---|
| Provider Name | Lydia O. Crane |
| First Address | Rockledge, FL 32955-4306 |
| Second Address | Indialantic, FL 32903-2848 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2005 |
| Last Update Date | 02/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E4150Y | MEDICARE (01) | FL |
| H17854 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.