Provider Demographics
NPI:1023536950
Name:LUNG HEALTH SOLUTIONS INC
Entity Type:Organization
Organization Name:LUNG HEALTH SOLUTIONS INC
Other - Org Name:LUNG HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAOUELAININ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-703-2190
Mailing Address - Street 1:1240 S BROAD ST STE 220
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5395
Mailing Address - Country:US
Mailing Address - Phone:267-500-5027
Mailing Address - Fax:844-965-9617
Practice Address - Street 1:1240 S BROAD ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5395
Practice Address - Country:US
Practice Address - Phone:610-703-2190
Practice Address - Fax:844-965-9617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014135207RP1001X
261QE0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1710133277Medicaid