LYDIA DOMINGUEZ FNP NPI 1689975153

NPI Information

NPI: 1689975153
Provider Name: LYDIA DOMINGUEZ, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
HIGHWAY 107 & LA FERIA AVE.
SANTA ROSA, TX
ZIP 78593
Phone: (956) 365-6071
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Lydia Dominguez, FNP is a family nurse practitioner in Santa Rosa, TX. Lydia Dominguez, FNP NPI is 1689975153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

HIGHWAY 107 & LA FERIA AVE.
SANTA ROSA, TX
ZIP 78593
Phone: (956) 365-6071
Fax: (956) 365-6072

The enumeration date for this NPI number is 11/15/2010 and was last updated on 11/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	255020	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	255020	OTHER	TEXAS	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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