Individual
LYDIA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 LAKE VARUNA DR, GAITHERSBURG, MD 20878-2171
(914) 643-5234
Mailing address
7031 STRATHMORE ST, APT. 1, CHEVY CHASE, MD 20815-6214
(207) 249-9836
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01327L
MD
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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