Provider Demographics
NPI:1801825906
Name:LUNG ASTHMA AND SLEEP ASSOCIATES PC
Entity type:Organization
Organization Name:LUNG ASTHMA AND SLEEP ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:U
Authorized Official - Last Name:GBADOUWEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-735-7801
Mailing Address - Street 1:233 COLLEGE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3372
Mailing Address - Country:US
Mailing Address - Phone:717-735-7801
Mailing Address - Fax:717-735-7804
Practice Address - Street 1:233 COLLEGE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3372
Practice Address - Country:US
Practice Address - Phone:717-735-7801
Practice Address - Fax:717-735-7804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062425L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA094491Medicare ID - Type UnspecifiedLASA GROUP MEDICARE