Individual
MRS. LYNDA PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26005 RIDGE RD, SUITE 200, DAMASCUS, MD 20872-1892
(301) 414-2300
(301) 414-2306
Mailing address
9909 GREENEL RD, DAMASCUS, MD 20872-2826
(301) 414-2300
(301) 414-2306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001276
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01476
NCCPA
MD
Enumeration date
05/01/2007
Last updated
02/22/2010
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