Provider Demographics
NPI:1154757326
Name:HOWARD COUNTY CENTER FOR LUNG AND SLEEP MEDICINE LLC
Entity type:Organization
Organization Name:HOWARD COUNTY CENTER FOR LUNG AND SLEEP MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NYANJOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-740-3635
Mailing Address - Street 1:10910 LITTLE PATUXENT PKWY
Mailing Address - Street 2:100
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3078
Mailing Address - Country:US
Mailing Address - Phone:410-740-3635
Mailing Address - Fax:410-740-1253
Practice Address - Street 1:10910 LITTLE PATUXENT PKWY
Practice Address - Street 2:100
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3078
Practice Address - Country:US
Practice Address - Phone:410-740-3635
Practice Address - Fax:410-740-1253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty