Individual
MS. SUSAN IRENE LYDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2334 MCCANN AVE LOT 40, CHEYENNE, WY 82001-5963
(307) 514-2577
Mailing address
PO BOX 15696, CHEYENNE, WY 82003-5696
(307) 514-2577
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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