Individual
DR. MARK HARRY LYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13103 E MANSFIELD AVENUE, SPOKANE VALLEY, WA 99216-1642
(509) 892-2700
(509) 892-2740
Mailing address
PO BOX 3405, SPOKANE, WA 99220-3405
(509) 892-2700
(509) 892-2740
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
31836
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD60797389
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000013333
—
TN
05
—
0121289
—
MS
05
—
139243001
—
AR
05
—
2098536
—
WA
01
—
3135931
BLUE CROSS BLUE SHIELD
TN
05
—
3135931
—
TN
05
—
3843923
—
TN
01
—
98771
BLUE CROSS
AR
Enumeration date
07/04/2006
Last updated
02/17/2023
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