Individual
LYDIA HAROUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
20 GUNFALLS GARTH, NOTTINGHAM, MD 21236-4849
(443) 655-3289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005278
MD
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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