Provider Demographics
NPI:1043750508
Name:GARRIDO, LYGIA YVETTE
Entity Type:Individual
Prefix:MS
First Name:LYGIA
Middle Name:YVETTE
Last Name:GARRIDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 VALLEYBROOK RD
Mailing Address - Street 2:CHARLOTTE, NC 28270
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-6550
Mailing Address - Country:US
Mailing Address - Phone:704-364-3558
Mailing Address - Fax:
Practice Address - Street 1:1730 MATTHEWS TOWNSHIP PKWY STE B
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4928
Practice Address - Country:US
Practice Address - Phone:704-502-8749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
No171W00000XOther Service ProvidersContractor