Organization
INTEGRATIVE CENTER FOR THYROID & METABOLIC DISORDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA RUBY CRNP (OWNER)
(443) 375-2909
Entity
Organization
Contact information
Practice address
1812 BALTIMORE BLVD STE C, WESTMINSTER, MD 21157-7144
(410) 861-5256
(410) 861-5258
Mailing address
830 QUIET MEADOW CT, WESTMINSTER, MD 21158-9493
(443) 375-2909
(410) 861-5258
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/08/2022
Last updated
01/27/2023
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