Organization Name: | LULLABY SLEEP STUDY CENTER |
NPI Number: | 1104096866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MYRA FRANCIAL SHELTON (PRESIDENT) |
Mailing Address: | 724 Kahn Dr Pikesville |
State: | MD US |
Postal Code: | 212085826 |
Phone Number: | 4104150720 |
Fax Number: | 4104662471 |
NPI Enumeration Date: | 03/08/2008 |
NPI Last Update Date: | 03/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744R1102X |
License Number: | R098349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Research Study |
Taxonomy Definition: |