| Doctor Name: | LEAH M BYRD |
| NPI Number: | 1053563742 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | COF, CMF, CFTS |
| License Number: | C18651 |
| Business Practice Address: | 2002 N Cedar St Suite A Lumberton, NC - 283583926 |
| Business Phone Number: | 9106715626 |
| Business Fax Number: | 9106715616 |
| Mailing Address: | 2002 N Cedar St, Suite A LUMBERTON |
| State: | NC |
| Postal Code: | 283583926 |
| Phone Number: | 9106715626 |
| Fax Number: | 9106715616 |
| NPI Enumeration Date: | 10/14/2008 |
| NPI Last Update Date: | 08/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 224900000X |
| License Number: | C18651 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Mastectomy Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |