Lefrak, Edward A

Lefrak, Edward A is an individual health care provider with primary practice located at 2921 Telestar Ct Suite 140, Falls Church VA 22042-1205. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Lefrak, Edward A can be contacted via phone (703) 280-5858.

Contact Information

Primary practice address
2921 Telestar Ct Suite 140 Falls Church VA 22042-1205
Fax: (703) 280-2654
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101028944 Virginia
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 0101028944 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101028944 Virginia

Profile Details

NPI number 1093784498
LBN Legal business name Lefrak, Edward A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 6th, 2007 - about 17 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 1093784498 NPPES
Virginia MEDICAID 7496851
Virginia MEDICAID 031188500

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