MEDICARE: MR. CHIP STEWART LYDICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1245662758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHIP STEWART LYDICK

Provider Business Mailing Address
First Line	:	8205 AYLESBURY AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7342
Country	:	US
Telephone Number	:	702-443-8632
Fax Number	:	702-586-7183

Provider Business Practice Location Address
First Line	:	8205 AYLESBURY AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7342
Country	:	US
Telephone Number	:	702-443-8632
Fax Number	:	702-586-7183

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	08/07/2013

Similar Medicare Providers

1942491592 — FLAGG LLC D/B/A REALITY RECOVERY
Practice Location Address:

3520 E TROPICANA AVE , SUITE E
LAS VEGAS, NV
89121-7342

Practice Phone: 702-434-4029
Practice Fax: 702-434-4033

1013474295 — MS. KRISTY ROSE SICA
Practice Location Address:

5370 ANGLER CIR UNIT 202
LAS VEGAS, NV
89122-7342

Practice Phone: 702-986-3969
Practice Fax:

1538037593 — INNER HARMONY MENTAL HEALTH CENTER LLC
Practice Location Address:

3520 E TROPICANA AVE STE D
LAS VEGAS, NV
89121-7342

Practice Phone: 702-741-1590
Practice Fax:

1114701976 — RED ROCK NEUROPSYCHIATRIC CONSULTANTS LLC
Practice Location Address:

7312 W CHEYENNE AVE STE 5
LAS VEGAS, NV
89129-7425

Practice Phone: 702-728-1328
Practice Fax:

1841142825 — KEYSTONE PRADO LLC
Practice Location Address:

7312 W CHEYENNE AVE STE 5
LAS VEGAS, NV
89129-7425

Practice Phone: 702-342-1248
Practice Fax: 949-864-3067

1306645320 — MARIAN PAHUDKAR
Practice Location Address:

7517 COBAL CANYON LN
LAS VEGAS, NV
89129-2903

Practice Phone: 820-203-0062
Practice Fax:

Directions to “ MR. CHIP STEWART LYDICK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.