MR. GLENN B LYDA CPO NPI 1962557439

NPI Information

NPI: 1962557439
Provider Name: MR. GLENN B LYDA, CPO
Classification: Prosthetist - 224P00000X
Entity Type: Individual
Address:
3305 16TH AVE SE
SUITE 101
CONOVER, NC
ZIP 28613
Phone: (828) 994-4808
Get Directions

MR. Glenn B Lyda, CPO is a prosthetist in Conover, NC. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MR. Glenn B Lyda, CPO NPI is 1962557439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3305 16TH AVE SE
SUITE 101
CONOVER, NC
ZIP 28613-213
Phone: (828) 994-4808
Fax: (828) 994-4809

The enumeration date for this NPI number is 1/24/2007 and was last updated on 6/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	222Z00000X	Orthotist				No
2	224P00000X	Prosthetist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7795183	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »