LYDIA PROKOSCH BUSEY

CHARLOTTESVILLE, VA
NPI1184374720
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: VA  0101288522)
Enumeration Date2022-03-26
Last Update Date2026-09-30
Business Address
LYDIA PROKOSCH BUSEY
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-1931
Mailing Address
LYDIA PROKOSCH BUSEY
PO BOX 749112
ATLANTA, GA 30374-9112
Phone number: 434-924-1931
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