Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D62331 | MD |
N | 208600000X | Surgeon | D62331 | MD |
Y | 2082S0105X | Plastic Hand Surgeon | D62331 | MD |
NPI | 1962443267 |
---|---|
Provider Name | Scott D Lifchez |
First Address | Baltimore, MD 21264-4165 |
Second Address | Baltimore, MD 21224-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 11/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
410639300 | (05) | MD |