Berger, Lesly

Berger, Lesly is an individual health care provider with primary practice located at 9011 Chevrolet Dr Suites 1-6, Ellicott City MD 21042-4024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Berger, Lesly can be contacted via phone (410) 465-7550.

Contact Information

Primary practice address
9011 Chevrolet Dr Suites 1-6 Ellicott City MD 21042-4024
Phone: (410) 465-7550
Fax: (410) 465-7085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0054406 Maryland

Profile Details

NPI number 1639133036
LBN Legal business name Berger, Lesly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Sep 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639133036 NPPES
Maryland MEDICAID 492600500

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