IndividualActive
Daniel Lydiatt, M.D.
NPI 1417913302 · Surgery Physician · Omaha, NE
Provider details
- NPI number
- 1417913302
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 16395 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Dental Providers
Allopathic & Osteopathic Physicians
Practice location
8303 Dodge St
Omaha, NE 68114-4108
Phone: (402) 354-5048
Fax: (402) 354-2585
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 10190
Virginia Beach, VA 23450-0190
Registry dates
- Enumerated
- 2006-04-21
- Last updated
- 2013-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.