Organization Active NPI

Lee-Llacer & Lee-Llacer, MD PA

  • Critical Care Medicine (Anesthesiology) Physician
  • Stevensville, MD
National Provider Identifier
1144314899
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
Legal business name
LEE-LLACER & LEE-LLACER, MD PA
Practice address
818 Bayside Dr
Stevensville, MD 21666-2734
Phone
(202) 239-5888
Fax
(202) 403-0508
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Caraol Baltazar
Title
Coo
Phone
(410) 290-0255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LC0200X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

818 Bayside Dr
Stevensville, MD 21666-2734

Mailing address

8600 Snowden River Pkwy Ste 307
Columbia, MD 21045-1986
Phone (410) 290-0255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809000118 MD Part B Supplier - Clinic/Group Practice 9436136157 Receives reassigned benefits from 2 practitioners
Practice locations: Stevensville, MD

National Provider Directory

National Provider Directory

Locations

8909 Old Branch Ave
Clinton, MD 20735
Phone (202) 239-5888

8600 Snowden River Pkwy
Ste 307
Columbia, MD 21045
Phone (410) 290-0012

4625 Sudley Rd
Unit 97
Catharpin, VA 20143

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1144314899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY STE 307",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451986",
            "telephone_number": "410-290-0255",
            "fax_number": "410-862-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 BAYSIDE DR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662734",
            "telephone_number": "202-239-5888",
            "fax_number": "202-403-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE-LLACER & LEE-LLACER, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "BALTAZAR",
        "authorized_official_first_name": "CARAOL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-290-0255"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.