Individual
MRS. LYDIA CORNELL REDDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7600 OSLER DR, 202, TOWSON, MD 21204-7735
(410) 821-7188
(410) 821-7185
Mailing address
1500 BOYCE AVE, TOWSON, MD 21204-6514
(410) 825-5821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001515
MD
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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