DR. Lydia Baghdaseriani

NPI #1992726012 in Burbank, California

Provider Information

NPI Number: 1992726012
Entity Type: Individual
Name: DR. Lydia Baghdaseriani
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Enumeration Date: Jul 22, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 310 E PROVIDENCIA AVE APT 106
City: Burbank
State: California
ZIP Code: 91502-2756
Phone: (818) 662-0208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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