Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0016667 | MD |
Y | 111NI0900X | Internist | D0016667 | MD |
N | 207RH0003X | Hematology & Oncology | MD4811 | DC |
NPI | 1073563201 |
---|---|
Provider Name | Dr. Lawrence Stephen Lessin |
First Address | Silver Spring, MD 20906 |
Second Address | Silver Spring, MD 20906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 16/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010610300 | (05) | DC |
6038352 | (05) | VA |
984361200 | (05) | MD |
B93717 | (02) | DC |