| Doctor Name: | LYDIA GLAUDE |
| NPI Number: | 1003043118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, RN |
| License Number: | RN128578COA1 |
| Business Practice Address: | 3486 Mayfield Rd Cleveland Hts, OH - 441181405 |
| Business Phone Number: | 2163820555 |
| Business Fax Number: | 2163820726 |
| Mailing Address: | 3486 Mayfield Rd, CLEVELAND HTS |
| State: | OH |
| Postal Code: | 441181405 |
| Phone Number: | 2163820555 |
| Fax Number: | 2163820726 |
| NPI Enumeration Date: | 06/16/2009 |
| NPI Last Update Date: | 06/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN128578COA1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |