Healthcare Provider Details

I. General information

NPI: 1447448766
Provider Name (Legal Business Name): LNSYL MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 MCCHURCH CT #C
RANDALLSTOWN MD
21133-3833
US

IV. Provider business mailing address

24 MCCHURCH CT #C
RANDALLSTOWN MD
21133-3833
US

V. Phone/Fax

Practice location:
  • Phone: 410-701-7320
  • Fax:
Mailing address:
  • Phone: 410-701-7320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number9804
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number3061
License Number StateMD

VIII. Authorized Official

Name: DR. CASHMIR LUKE
Title or Position: PRESIDENT
Credential: PHARMD, RRT
Phone: 240-388-0095