Lea Medical Partners, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D0059136 Issued in MD

Legal business name

LEA MEDICAL PARTNERS, LLC

Practice address

8116 Good Luck Rd
Suite 205
Lanham, MD 20706-3502

Phone

(301) 495-3742

Fax

(301) 495-3743

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Dallas A Lea II, MDNPI 1063420750

Title

Owner

Phone

(301) 495-3742

Specialties & licenses 1

Addresses

Other names 1

• Lea Medical Therapies Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lea Medical Partners, LLC

  • Physical Medicine & Rehabilitation Physician
  • Silver Spring, MD
  • NPI 1326472580

  O20131121000721

  Same enrollment

Locations

Practitioners 1

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

• Dallas A Lea, M.D.

  • Spinal Cord Injury Medicine Physician
  • Silver Spring, MD
  • NPI 1063420750
  NPD Authorized official

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1285003558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SPRING ST",
            "address_2": "SUITE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102735",
            "telephone_number": "301-495-3742",
            "fax_number": "301-495-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD",
            "address_2": "SUITE 205",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063502",
            "telephone_number": "301-495-3742",
            "fax_number": "301-495-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA MEDICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-495-3742",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0059136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lea Medical Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlette Lawrence, PT
• Katrina N Lawrence, EDD, LCPC
• Ngungankeng Lawson
• LCN Services LLC
• Cong Van Le, MD
• Kadie E Leach, M.D.
• Alnetta Cynthia Leary, BEHAVIOR TECHNICIAN
• Abigail Sonia Lebbie
• Awung Thaddius Lechindem
• Heather M Lee, M.D.

• Physical Medicine & Rehabilitation Physician in Lanham, MD
• Providers in Lanham, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.