person
Mrs. Lydia Novruzov, PA-C
Medical Physician Assistant in Abingdon, Virginia
NPI 1962803361

Lydia Novruzov is a Medical Physician Assistant based in Abingdon, VA and is specialized in Medical. Lydia Novruzov practices in Abingdon, VA and has the professional credentials of PA-C. The NPI Number for Lydia Novruzov is 1962803361 and holds a License No. 0110005362 (Virginia).

The current practice location address for Lydia Novruzov is 16000 Johnston Memorial Dr, Abingdon, VA and can be reached out via phone at 276-258-1800 and via fax at 276-258-1805.

Location: 16000 Johnston Memorial Dr, Abingdon, VA, 24211-7664
person
Provider Profile Details
NPI Number
1962803361
Provider Name
Lydia Novruzov
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
16000 Johnston Memorial Dr, Abingdon, VA, 24211-7664
Phone Number
276-258-1800
Fax Number
276-258-1805
Provider Enumeration Date
09/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962803361 05 VA
institution
Provider Business Practice Location Address Details
Address
16000 Johnston Memorial Dr
City
State
Zip
24211-7664
Phone Number
276-258-1800
Fax Number
276-258-1805
person
Provider Business Mailing Address Details
Address
16000 Johnston Memorial Dr
City
State
Zip
24211-7664
Phone Number
276-258-1800
Fax Number
276-258-1805
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110005362 (Virginia)
Definition
Definition to come...
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