Organization Active NPI

Lea Lazar, M.D., P.C.

  • Family Medicine Physician
  • Clarksville, MD
National Provider Identifier
1306198213
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D38833 Issued in MD
Legal business name
LEA LAZAR, M.D., P.C.
Practice address
6355 Ten Oaks Rd
Suite 202
Clarksville, MD 21029-1185
Phone
(410) 531-1440
Fax
(410) 531-1412
NPI assigned
Oct 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Lea Lazar, M.D.
Title
Owner
Phone
(410) 531-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D38833 MD Primary

Addresses

Primary practice location

6355 Ten Oaks Rd
Suite 202
Clarksville, MD 21029-1185

Mailing address

6355 Ten Oaks Rd
Suite 202
Clarksville, MD 21029-1185
Phone (410) 531-1440

National Provider Directory

National Provider Directory

Locations

6355 Ten Oaks Rd
Ste 202
Clarksville, MD 21029
Phone (410) 531-1440

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1306198213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 TEN OAKS RD",
            "address_2": "SUITE 202",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291185",
            "telephone_number": "410-531-1440",
            "fax_number": "410-531-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 TEN OAKS RD",
            "address_2": "SUITE 202",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291185",
            "telephone_number": "410-531-1440",
            "fax_number": "410-531-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA LAZAR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-531-1440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D38833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.