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Individual

MRS. LYDIA KARLYN MARSHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA - C

Contact information

Practice address
1349 S INTERNATIONAL PKWY STE 1411, LAKE MARY, FL 32746-1698
(407) 333-3360
(855) 699-6808
Mailing address
1349 S INTERNATIONAL PKWY STE 1411, LAKE MARY, FL 32746-1698
(407) 333-3360
(855) 699-6808

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103622
FL

Other

Enumeration date
11/16/2012
Last updated
05/24/2024
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