Individual
LYDIA NAA KOWA OTOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7363 HIDDEN CV, COLUMBIA, MD 21046-2075
(301) 537-5039
Mailing address
7363 HIDDEN CV, COLUMBIA, MD 21046-2075
(301) 537-5039
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R1040688
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R220280
MD
Other
Enumeration date
07/06/2020
Last updated
01/25/2024
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