NPI 1962779744
Lydell Powell, CSFA
Practice location
- Address
- 1897 Hollyhock Cir, Farmington, NM 87401-4701
- Phone
- (505) 360-7709
Registered specialties
Surgical Assistant
Primary
Registry record
- NPI
- 1962779744
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Nov 2011
- Record last updated
- 16 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.