Individual
LYZETTE BIRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9879 GOOD LUCK RD APT 3, LANHAM, MD 20706-3233
(322) 301-9268
Mailing address
9879 GOOD LUCK RD APT 3, LANHAM, MD 20706-3233
(322) 301-9268
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA2986
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA2986
HOME HEALTH AIDE
MD
Enumeration date
12/22/2014
Last updated
12/22/2014
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