# INTEGRATIVE CENTER FOR THYROID & METABOLIC DISORDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326759606
- **Authorized official:** DR. LAURA RUBY CRNP (OWNER)
- **Authorized official phone:** (443) 375-2909

## Contact information

- **Practice address:** 1812 BALTIMORE BLVD STE C, WESTMINSTER, MD 21157-7144
- **Practice address phone:** (410) 861-5256
- **Practice address fax:** (410) 861-5258
- **Mailing address:** 830 QUIET MEADOW CT, WESTMINSTER, MD 21158-9493
- **Mailing address phone:** (443) 375-2909
- **Mailing address fax:** (410) 861-5258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/08/2022
- **Last updated:** 01/27/2023