Healthcare Provider Details

I. General information

NPI: 1861236002
Provider Name (Legal Business Name): LYDIA MARIE SADLOWSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2024
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US

IV. Provider business mailing address

11601 FARMLAND DR
ROCKVILLE MD
20852-4307
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-8373
  • Fax:
Mailing address:
  • Phone: 219-743-0182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: