Individual
LYDA P SUSEMIHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6400 ARLINGTON BLVD., SUITE 200, FALLS CHURCH, VA 22042
(703) 531-3100
(703) 531-3108
Mailing address
3300 GALLOWS RD, PHYSICIAN BILLING, FALLS CHURCH, VA 22042-3307
(703) 776-2545
(703) 776-2917
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101236624
VA
Other
Enumeration date
06/23/2006
Last updated
03/05/2021
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