MR. GLENN B LYDA CPO
NPI 1962557439
Prosthetist in Conover, NC

Active since January 24, 2007
3305 16TH AVE SE, SUITE 101, CONOVER, NC 28613(828) 994-4808(828) 994-4809 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Glenn B Lyda Cpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLENN B LYDA CPO (NPI 1962557439) is an individual prosthetist provider in Conover, North Carolina and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1962557439
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameMR. GLENN B LYDACredential: CPO
Location Address3305 16TH AVE SE, SUITE 101Conover, NC 28613-9213
Mailing Address3305 16th Ave Se, Suite 101Conover, NC 28613-9213 · (828) 994-4808 · Fax (828) 994-4809
Fax(828) 994-4809
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJune 7, 2016
NPI 1962557439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedOrthotistTaxonomy 222Z00000X
3305 16TH AVE SE, Conover, NC 28613

Other Identifiers 1

Medicaid7795183NC

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prosthetic/Orthotic Supplier
3305 16TH AVE SE, SUITE 101
CONOVER, NC 28613
Dentist (Periodontics)
3305 16TH AVE SE, STE 301
CONOVER, NC 28613
Day Training, Developmentally Disabled Services
3305 16TH AVE SE, SUITE 207A
CONOVER, NC 28613
Community Based Residential Treatment Facility, Mental Illness
3305 16TH AVE SE
CONOVER, NC 28613
Dentist (Periodontics)
3305 16TH AVE SE
CONOVER, NC 28613
Prosthetist
3305 16TH AVE SE, SUITE 101
CONOVER, NC 28613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Lyda's NPI number?

The NPI number for Glenn Lyda is 1962557439. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Glenn Lyda located?

Glenn Lyda practices at 3305 16th Ave SE Suite 101, Conover, NC 28613. The listed phone number is (828) 994-4808.

What is Glenn Lyda's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Glenn Lyda was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.