Gormley, Lauren A.

Gormley, Lauren A. is an sole proprietor health care provider with primary practice located at 1209 York Rd Suite 200, Lutherville Timonium MD 21093-6207. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Low Vision Rehabilitation is her primary health care specialty. Gormley, Lauren A. can be contacted via phone (410) 821-9490.

Contact Information

Primary practice address
1209 York Rd Suite 200 Lutherville Timonium MD 21093-6207
Fax: (410) 821-9495
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X TA2073 Maryland
Eye and Vision Services Providers / Vision Therapy 152WV0400X TA2073 Maryland

Profile Details

NPI number 1225221575
LBN Legal business name Gormley, Lauren A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2007
Last updated Apr 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225221575 NPPES
Maryland MEDICAID 016433000

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