Individual
LYNETTE BALLOU KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2227 OLD EMMORTON RD, BEL AIR, MD 21015-6187
(410) 569-9040
(844) 569-0856
Mailing address
11708 CLAIRMOOR RD, LUTHERVILLE, MD 21093-1552
(410) 456-7405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R092927
MD
Other
Enumeration date
10/16/2018
Last updated
11/05/2019
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