Search › Texas › 225X00000X
Lyddia Revell, DSC
NPI 1275982092 · on the registry since 2016
Practice
- Address
- 3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234 - Phone
- (262) 501-9788
- Organisation at this address
- Saushec
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 599
Additional practice sites
- 1407 Saint Andrew St, La Crosse, WI
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas