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Dr. Lydia Baghdaseriani
Chiropractor in Burbank, California
NPI 1992726012

Lydia Baghdaseriani is a Chiropractor based in Burbank, CA. Lydia Baghdaseriani practices in Burbank, CA. The NPI Number for Lydia Baghdaseriani is 1992726012 and holds a License No. DC24776 (California).

The current practice location address for Lydia Baghdaseriani is 310 E Providencia Ave Apt 106, Burbank, CA and can be reached out via phone at 818-662-0208 and via fax at 661-822-2049.

Location: 310 E Providencia Ave Apt 106, Burbank, CA, 91502-2756
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Provider Profile Details
NPI Number
1992726012
Provider Name
Lydia Baghdaseriani
Credential
Provider Entity Type
Individual
Gender
Female
Address
310 E Providencia Ave Apt 106, Burbank, CA, 91502-2756
Phone Number
818-662-0208
Fax Number
661-822-2049
Provider Enumeration Date
07/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0247760 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
310 E Providencia Ave Apt 106
City
State
Zip
91502-2756
Phone Number
818-662-0208
Fax Number
661-822-2049
person
Provider Business Mailing Address Details
Address
310 E Providencia Ave Apt 106
City
State
Zip
91502-2756
Phone Number
818-662-0208
Fax Number
661-822-2049
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
DC24776 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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