Provider Demographics
NPI:1235217233
Name:CARNOTA, LIDIA RUTH (MD)
Entity Type:Individual
Prefix:
First Name:LIDIA
Middle Name:RUTH
Last Name:CARNOTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2424 REEDIE DR
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4624
Mailing Address - Country:US
Mailing Address - Phone:240-777-1323
Mailing Address - Fax:240-777-3226
Practice Address - Street 1:2424 REEDIE DR
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4624
Practice Address - Country:US
Practice Address - Phone:240-777-1323
Practice Address - Fax:240-777-3226
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDDOO567792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry