Harris, Lydia

Harris, Lydia is an sole proprietor health care provider with primary practice located at 5901 Kingstowne Village Pkwy Ste 201 , Alexandria VA 22315-5882. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Harris, Lydia can be contacted via phone (703) 718-3551.

Contact Information

Primary practice address
5901 Kingstowne Village Pkwy Ste 201 Alexandria VA 22315-5882
Fax: (703) 417-9931
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HCO-212420 Virginia

Profile Details

NPI number 1003523382
LBN Legal business name Harris, Lydia
Credentials HOMECARE PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2022
Last updated Nov 4th, 2022 - about 2 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 1003523382 NPPES
Virginia MEDICAID 1962037838

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