Individual
MS. LYDIA CHRISTINE DESCHEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 WESTOWN PKWY STE 104, WEST DES MOINES, IA 50265-1540
(515) 223-6620
(402) 334-6063
Mailing address
11623 ARBOR STREET, OMAHA, NE 68144
(402) 334-6063
(402) 334-6063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115587
IA
225X00000X
Occupational Therapist
2689
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134760
—
IA
Enumeration date
09/13/2022
Last updated
01/12/2023
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