Individual
LIDIYA GUTNIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1790 E MARKET ST STE 64B, ROCKINGHAM, VA 22801-5197
(540) 564-5666
Mailing address
1790 E MARKET ST STE 64B, ROCKINGHAM, VA 22801-5197
(540) 564-5666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101271587
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2018
Last updated
06/01/2021
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