Basic Information
| Provider Information | |||||||||
| NPI: | 1003298704 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HELMS | ||||||||
| FirstName: | LYRA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7235 VIA CONTENTA NE | ||||||||
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| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871131345 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4239304842 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11 GARDEN PARK CIR NW | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871072620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4239304842 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2015 | ||||||||
| LastUpdateDate: | 03/09/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 373H00000X | N | Nursing Service Related Providers | Day Training/Habilitation Specialist | 225X00000X | 4083 | NM | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.