Individual provider · Type 1 NPI

Lydia Heim

Student in an Organized Health Care Education/Training Program · Mequon, WI

NPI number 1366356453 Active

Practice location

12800 N Lake Shore Dr
Mequon, WI 53097-2418

Call (262) 243-5700 Map

Mailing address

2345 Ironwood Dr
Green Bay, WI 54304-1938

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 1366356453

Lydia Heim's National Provider Identifier is 1366356453, issued on Sep 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mequon, WI. The record was last updated on Sep 28, 2026.