Leota Lifestar LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LEOTA LIFESTAR LLC

Practice address

75 Thomas Johnson Dr
Suite E
Frederick, MD 21702-4895

Phone

(240) 405-9059

Fax

(443) 283-4038

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra E Marley

Title

Vice President

Phone

(240) 405-6865

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lucile Lansing Duke, M.C.

  • Professional Counselor
  • Frederick, MD
  • NPI 1053631473
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1598085011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR",
            "address_2": "SUITE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024895",
            "telephone_number": "240-405-9059",
            "fax_number": "443-283-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR",
            "address_2": "SUITE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024895",
            "telephone_number": "240-405-9059",
            "fax_number": "443-283-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOTA LIFESTAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "MARLEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "240-405-6865",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C Lemonnier, D.D.S.
• Emily Leon, LGPC
• Leonard Surgical Care Associates, LLC
• Brooke Leonard, LGPC
• Brent Leone
• Michael A Lerner, M.D.
• Richard T Leschek, D.O.
• Callie Lesher, APRN,AGNP-C
• Wendy L Lethbridge, CST/CFA
• Laurence Neil Letich, LCSW-C

• Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.