Provider Demographics
NPI:1831184878
Name:LAWYER, CYRUS JEFFERSON III (MD)
Entity type:Individual
Prefix:
First Name:CYRUS
Middle Name:JEFFERSON
Last Name:LAWYER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1838 GREENE TREE RD
Mailing Address - Street 2:SUITE 380
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6391
Mailing Address - Country:US
Mailing Address - Phone:410-415-5577
Mailing Address - Fax:410-415-6682
Practice Address - Street 1:301 SAINT PAUL PL
Practice Address - Street 2:P.O.B. 501
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-347-5700
Practice Address - Fax:410-347-5744
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0029299174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD358251600Medicaid
MD358251600Medicaid
MDC89151Medicare UPIN