Individual
LYANA MAHMOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12101 CAROL LN STE 101, FREDERICKSBURG, VA 22407-6104
(540) 741-9300
Mailing address
12101 CAROL LN, FREDERICKSBURG, VA 22407-6103
(540) 741-9300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101278308
VA
Other
Enumeration date
05/17/2018
Last updated
02/19/2025
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