Active NPI
Lea Lazar, M.D.
- Family Medicine Physician
- Clarksville, MD
National Provider Identifier
1578609335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D38833
- Practice address
- 6355 Ten Oaks Rd
Suite 202
Clarksville, MD 21029-1184 - Phone
- (410) 531-1440
- Fax
- (410) 531-1412
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D38833 | MD | Primary |
Addresses
Primary practice location
6355 Ten Oaks Rd
Suite 202
Clarksville, MD 21029-1184
Mailing address
6355 Ten Oaks Rd
Suite 202
Clarksville, MD 21029-1184
Phone (410) 531-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 547911800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1578609335",
"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": "210291184",
"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": "210291184",
"telephone_number": "410-531-1440",
"fax_number": "410-531-1412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAR",
"first_name": "LEA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D38833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "547911800",
"state": "MD"
}
],
"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 Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.