Provider Demographics
NPI:1396756706
Name:CARANI, LOIS AURELIA (MD)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:AURELIA
Last Name:CARANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 KNOLL NORTH DR
Mailing Address - Street 2:SUITE 490
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2370
Mailing Address - Country:US
Mailing Address - Phone:410-964-1000
Mailing Address - Fax:
Practice Address - Street 1:5500 KNOLL NORTH DR
Practice Address - Street 2:SUITE 490
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2370
Practice Address - Country:US
Practice Address - Phone:410-964-1000
Practice Address - Fax:410-964-1002
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0039378207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD174500000Medicaid
MD028501300Medicaid
MD174500000Medicaid
MD028501300Medicaid
G00072Medicare ID - Type UnspecifiedGROUP ID#