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Individual

DR. LYDA A SHAMBO

Active
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Individual

DR. LYDA A SHAMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001204398
VA
163W00000X
Registered Nurse
525267
NY
367500000X
Certified Registered Nurse Anesthetist
0024167441
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
525267
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4024
VA
Enumeration date
04/09/2007
Last updated
06/08/2026
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