Healthcare Provider Details

I. General information

NPI: 1891989091
Provider Name (Legal Business Name): JOYCE LAMMLEIN M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 LOCH RAVEN BLVD MORGAN BUILDING-SUITE 402
BALTIMORE MD
21239-2905
US

IV. Provider business mailing address

5601 LOCH RAVEN BLVD MORGAN BUILDING-SUITE 402
BALTIMORE MD
21239-2905
US

V. Phone/Fax

Practice location:
  • Phone: 443-444-4880
  • Fax: 443-444-4833
Mailing address:
  • Phone: 443-444-4880
  • Fax: 443-444-4833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD0030257
License Number StateMD

VIII. Authorized Official

Name: DR. JOYCE LAMMLEIN
Title or Position: PHYSCIAN
Credential: M.D.
Phone: 443-444-4880