Basic Information
Provider Information
NPI: 1003298704
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELMS
FirstName: LYRA
MiddleName:  
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Mailing Information
Address1: 7235 VIA CONTENTA NE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871131345
CountryCode: US
TelephoneNumber: 4239304842
FaxNumber:  
Practice Location
Address1: 11 GARDEN PARK CIR NW
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871072620
CountryCode: US
TelephoneNumber: 4239304842
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/18/2015
LastUpdateDate: 03/09/2019
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
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IsSoleProprietor: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X4083NMY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 
373H00000X  N Nursing Service Related ProvidersDay Training/Habilitation Specialist 

No ID Information.


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