Novruzov, Lydia

Novruzov, Lydia is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr , Abingdon VA 24211-7664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Novruzov, Lydia can be contacted via phone (276) 258-1800.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Abingdon VA 24211-7664
Phone: (276) 258-1800
Fax: (276) 258-1805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110005362 Virginia

Profile Details

NPI number 1962803361
LBN Legal business name Novruzov, Lydia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2014
Last updated Feb 21st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962803361 NPPES
Virginia MEDICAID 1962803361

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