Individual
LYNSARA GWANVOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9512 LANHAM SEVERN RD, LANHAM, MD 20706-2624
(404) 247-2696
(404) 247-2696
Mailing address
9512 LANHAM SEVERN RD, LANHAM, MD 20706-2624
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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