Derek Andre Lyde I
Derek Andre Lyde I is an Athletic Trainer in Baltimore, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
821 N Eutaw St Ste 201Baltimore, MD 21201-6301
Phone: (410) 225-9185
Fax: (410) 225-7964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1790471910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 12, 2023 |
| Last updated in NPPES | April 12, 2023 |
| Certification date | April 12, 2023 |
| Mailing address | 821 N Eutaw St Ste 201, Baltimore, MD 21201-6301 |
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