Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X | |||
Sleep Medicine |
207RS0012X | 11 | Physician/Internal Medicine |
| NPI Number | 1780969204 |
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| LBN Legal business name | SLEEP DISORDERS MANAGEMENT, LLC | ||||
| Authorized official | WILLIAM LYNCH - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/15/2011 | ||||
| Last updated | 11/18/2011 - About 15 years ago | ||||
| Identifiers |
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