Leithauser, Lance G
Leithauser, Lance G is an sole proprietor health care provider with primary practice located at 9715 Medical Center Dr 535, Rockville MD 20850-3320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Leithauser, Lance G can be contacted via phone (301) 294-9400.Contact Information
Primary practice address
9715 Medical Center Dr 535
Rockville MD 20850-3320
Phone: (301) 294-9400
Fax: (301) 294-0149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | D0021581 | Maryland |
Profile Details
| NPI number | 1013918184 |
|---|---|
| LBN Legal business name | Leithauser, Lance G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Mar 3rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013918184 | NPPES |
| Maryland | MEDICAID | 189061100 | |
| Maryland | Other | 0819656 | |
| Maryland | Other | 9440-0001 | |
| Maryland | Other | 20071 | |
| Maryland | Other | 05008 | |
| Maryland | Other | 41680702 |
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