Organization
MEDICAL TOWERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUSEGAN LAWOYIN M.D. (OWNER)
(410) 655-7100
Entity
Organization
Contact information
Practice address
5310 OLD COURT RD, SUITE 305, RANDALLSTOWN, MD 21133-5243
(410) 655-7100
(410) 655-7919
Mailing address
5310 OLD COURT RD, SUITE 305, RANDALLSTOWN, MD 21133-5243
(410) 655-7100
(410) 655-7919
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KAU5
CAREFIRST BLUE SHIELD
MD
01
—
W357
FEP/ BLUE CHOICE/ CAPITOL
MD
Enumeration date
08/19/2005
Last updated
07/21/2022
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