Provider Demographics
NPI:1649316035
Name:JARJOUR, LAMYA T (MD)
Entity type:Individual
Prefix:DR
First Name:LAMYA
Middle Name:T
Last Name:JARJOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18300 ROSCOE BLVD
Mailing Address - Street 2:THE WOMEN'S CENTER
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4105
Mailing Address - Country:US
Mailing Address - Phone:818-886-5975
Mailing Address - Fax:818-701-9427
Practice Address - Street 1:18300 ROSCOE BLVD
Practice Address - Street 2:THE WOMEN'S CENTER
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4105
Practice Address - Country:US
Practice Address - Phone:818-886-5975
Practice Address - Fax:818-701-9427
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA043476174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist