Individual
LYDIA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
914 N 35TH ST FL 2, RICHMOND, VA 23223-7602
(804) 873-1583
(804) 222-8492
Mailing address
914 N 35TH ST FL 2, RICHMOND, VA 23223-7602
(804) 873-1583
(804) 222-8492
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0156636778
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156636778
—
VA
05
—
0158053741
—
VA
Enumeration date
08/10/2013
Last updated
02/06/2014
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