Healthcare Provider Details

I. General information

NPI: 1750173100
Provider Name (Legal Business Name): MS. LYRIC ADIA SYKES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

2505 13TH ST NW APT 12
WASHINGTON DC
20009-5255
US

V. Phone/Fax

Practice location:
  • Phone: 301-578-2074
  • Fax:
Mailing address:
  • Phone: 248-979-5990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: