Provider Demographics
NPI:1437405594
Name:ARMACOST, LYDIA DELL (DPT)
Entity Type:Individual
Prefix:DR
First Name:LYDIA
Middle Name:DELL
Last Name:ARMACOST
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17229 PLEASANT MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:UPPERCO
Mailing Address - State:MD
Mailing Address - Zip Code:21155-9552
Mailing Address - Country:US
Mailing Address - Phone:410-960-1614
Mailing Address - Fax:
Practice Address - Street 1:17229 PLEASANT MEADOW RD
Practice Address - Street 2:
Practice Address - City:UPPERCO
Practice Address - State:MD
Practice Address - Zip Code:21155-9552
Practice Address - Country:US
Practice Address - Phone:410-960-1614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist