Individual provider · Type 1 NPI

Lydia Antonivna Lutsyshyna

Student in an Organized Health Care Education/Training Program · Wheat Ridge, CO

NPI number 1902614548 Active

Practice location

5181 Ward Rd Unit 206
Wheat Ridge, CO 80033-1925

Call (720) 724-6813 Map

Mailing address

1501 Orchard Ave
Boulder, CO 80304-1229

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 1902614548

Lydia Antonivna Lutsyshyna's National Provider Identifier is 1902614548, issued on Dec 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Dec 30, 2024.