Provider Demographics
NPI:1720414493
Name:HOWARD COUNTY CENTER FOR LUNG AND SLEEP MEDICINE
Entity Type:Organization
Organization Name:HOWARD COUNTY CENTER FOR LUNG AND SLEEP MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
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:SUITE 100
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3081
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:SUITE 100
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3081
Practice Address - Country:US
Practice Address - Phone:410-740-3635
Practice Address - Fax:410-740-1253
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOWARD COUNTY CENTER FOR LUNG AND SLEEP MEDICINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty