Individual provider · Type 1 NPI

Laquisha Byrd, IDC

Military Health Care Provider · San Diego, CA

NPI number 1750972410 Active

Practice location

34101 Fareholt Ave 92134 Building 14
San Diego, CA 92134-0001

Call (571) 659-1395 Map

Mailing address

Psc 836 Box 521
Fpo, AE 09636-0009

Other practice locations

  • Psc 836 Box 2670, Fpo, AE 09636-9998 · (314) 624-5455

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1750972410

Laquisha Byrd, IDC's National Provider Identifier is 1750972410, issued on Jan 26, 2021. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Feb 20, 2026.