Individual provider · Type 1 NPI

Lydia Ann Moss

Student in an Organized Health Care Education/Training Program · Eglin Afb, FL

NPI number 1700793262 Active

Practice location

307 Boatner Rd
Eglin Afb, FL 32542-1302

Call (706) 970-0285 Map

Mailing address

2196 Big Pine Dr
Hiawassee, GA 30546-5301

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 1700793262

Lydia Ann Moss's National Provider Identifier is 1700793262, issued on Aug 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eglin Afb, FL. The record was last updated on Aug 27, 2026.