Individual provider · Type 1 NPI

Shelby Lyda, MD

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1124587167 Active

Practice location

2225 20th Ave S Apt B
Birmingham, AL 35223-1092

Mailing address

619 19th St S # JT804
Birmingham, AL 35249-6810

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124587167

Shelby Lyda, MD's National Provider Identifier is 1124587167, issued on Mar 19, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Apr 12, 2023.