GLENN B LYDA

CONOVER, NC
NPI1962557439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2007-01-24
Last Update Date2016-06-07
Business Address
Mr. GLENN B LYDA CPO
3305 16TH AVE SE SUITE 101
CONOVER, NC 28613-9213
Phone number: 828-994-4808
Mailing Address
Mr. GLENN B LYDA CPO
3305 16TH AVE SE SUITE 101
CONOVER, NC 28613-9213
Phone number: 828-994-4808
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