Healthcare Provider Details

I. General information

NPI: 1396756706
Provider Name (Legal Business Name): LOIS AURELIA CARANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 KNOLL NORTH DR SUITE 490
COLUMBIA MD
21045-2370
US

IV. Provider business mailing address

5500 KNOLL NORTH DR SUITE 490
COLUMBIA MD
21045-2370
US

V. Phone/Fax

Practice location:
  • Phone: 410-964-1000
  • Fax: 410-964-1002
Mailing address:
  • Phone: 410-964-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD0039378
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: