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Individual

LYDIA WILLIS WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5838 HARBOUR VIEW BLVD STE 100, SUFFOLK, VA 23435-2663
(757) 673-5680
(757) 483-3075
Mailing address
PO BOX 639971, CINCINNATI, OH 45263-9971

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009295
VA

Other

Enumeration date
12/05/2022
Last updated
12/17/2025
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