Individual provider · Type 1 NPI
Shelby Lord
Student in an Organized Health Care Education/Training Program · Windsor, CA
NPI number
1548817018
Active
Practice location
8724 Windsor Rd
Windsor, CA 95492-9512
Mailing address
2447 Summerfield Rd
Santa Rosa, CA 95405-7815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1548817018
Shelby Lord's National Provider Identifier is 1548817018, issued on Aug 20, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Windsor, CA. The record was last updated on Aug 21, 2019.