Individual
LISA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
5896 S RIDGELINE DR, SUITE B, OGDEN, UT 84405-6779
(801) 866-0170
(801) 866-0169
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7973035-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031828
MEDICARE
AZ
01
—
61788
MEDICARE
AZ
Enumeration date
05/27/2005
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us