Individual
LISA ANN BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51627 COACH ROAD, LA PINE, OR 97739
(541) 536-2718
Mailing address
PO BOX 2202, LA PINE, OR 97739-2202
(541) 536-2718
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
A0117
OR
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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