NPIMap

Organization Active NPI

Lee-Llacer & Lee-Llacer, MD,PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Stevensville, MD
National Provider Identifier
1922135508
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
D0012962 Issued in MD
Legal business name
LEE-LLACER & LEE-LLACER, MD,PA
Practice address
818 Bayside Dr
Stevensville, MD 21666-2734
Phone
(410) 290-0255
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X D0012962 MD
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X D0012962 MD Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X D008273 MD

Addresses

Primary practice location

818 Bayside Dr
Stevensville, MD 21666-2734

Mailing address

818 Bayside Dr
Stevensville, MD 21666-2734
Phone (410) 290-0255

National Provider Directory

National Provider Directory

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1922135508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 BAYSIDE DR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662734",
            "telephone_number": "410-290-0255"
        },
        {
            "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": "410-290-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE-LLACER & LEE-LLACER, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "BALTAZAR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-290-0255"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0012962",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0012962",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D008273",
            "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 Aug 28, 2025; 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.