Search › Maryland › 163WC0200X
Lidet Tesema
NPI 1861237976 · on the registry since 2024 · sole proprietor
Practice
- Address
- 11789 Triadelphia Rd
Ellicott City, MD 21042 - Phone
- (240) 764-9932
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland