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NPI Code Detail

MEDICARE: LYDIA STRAND

MEDICARE:   LYDIA  STRAND
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
11041C0700XClinical Social WorkerSWI.LW.70086965WA

General Provider Information

NPI Number : 1568035244
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA STRAND
Provider Business Mailing Address
First Line : 409 LOVERS LN
Second Line :
City : ATHENS
State : TX
Zip : 75751-2185
Country : US
Telephone Number : 34-752-2549
Fax Number :
Provider Business Practice Location Address
First Line : 515 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2304
Country : US
Telephone Number : 206-681-3935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 05/27/2026

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Directions to “ LYDIA STRAND ” Practice Location

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