Healthcare Provider Details

I. General information

NPI: 1982097531
Provider Name (Legal Business Name): LOIS CARANI, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2015
Last Update Date: 09/17/2015
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:
Mailing address:
  • Phone: 410-964-1000
  • Fax: 410-964-1012

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: DR. LOIS A CARANI
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 410-964-1000