Individual provider · Type 1 NPI

Lydia Jordan Brock, DO

Student in an Organized Health Care Education/Training Program · Ypsilanti, MI

NPI number 1689391443 Active

Practice location

200 Arnet St Ste 200
Ypsilanti, MI 48198-5753

Call (580) 475-6385 Map

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 1689391443

Lydia Jordan Brock, DO's National Provider Identifier is 1689391443, issued on Oct 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ypsilanti, MI. The record was last updated on Nov 20, 2025.