Individual
MR. CHIP STEWART LYDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8205 AYLESBURY AVE, LAS VEGAS, NV 89129-7342
(702) 443-8632
(702) 586-7183
Mailing address
8205 AYLESBURY AVE, LAS VEGAS, NV 89129-7342
(702) 443-8632
(702) 586-7183
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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