| Lydia Yilma, NP | |
|
19305 Ruby Dr, Leesburg, VA 20176-6508 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Lydia Yilma |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 19305 Ruby Dr, Leesburg, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215527544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024178488 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Of Virginia Llc | 6709960891 | 150 |
| Entity Name | Minuteclinic Diagnostic Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417076829 PECOS PAC ID: 6709960891 Enrollment ID: O20080228000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Yilma, NP 11424 Old Mountain Rd, Glen Allen, VA 23060-1916 Ph: (804) 301-7422 | Lydia Yilma, NP 19305 Ruby Dr, Leesburg, VA 20176-6508 Ph: (866) 389-2727 |
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