Most Relevant Information
Provider Data
| NPI Number: | 1003433285 |
| Provider Name: | IJA LYNN DELIA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | R196577 |
Most Important Dates
| Enumeration Date: | 07/03/2020 |
| Last Updated: | 07/03/2020 |
Provider Practice Location
711 MAIDEN CHOICE LN
CATONSVILLE
MD
212283632
Practice Location Phone/Fax
| Phone: | 4102475602 |
| Fax: | 4102421756 |
Provider Mailing Location
5525 RESEARCH PARK DR FL 4
BALTIMORE
MD
212284873
Provider Mailing Phone/Fax
| Phone: | 4102475602 |
| Fax: | 4102421756 |