Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deanna Rae Lyder

Individual provider Family Nurse Practitioner · NPI 1245719806

Deanna Rae Lyder is a Nurse Practitioner in Lisbon, Ohio. Qualified in 2018, 8 years ago. Practices with Triad Health Services LLC, a 253-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018

Practice location Address checks out

6168 Low Rd
Lisbon, OH 44432-9347
Phone: (330) 360-1879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 023435 (OH)

Record details

NPI number1245719806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address3499 Belmont Ave, Youngstown, OH 44505-1807

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Triad Health Services Llc — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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