# LEE-LLACER & LEE-LLACER, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144314899
- **Authorized official:** CARAOL BALTAZAR (COO)
- **Authorized official phone:** (410) 290-0255

## Contact information

- **Practice address:** 818 BAYSIDE DR, STEVENSVILLE, MD 21666-2734
- **Practice address phone:** (202) 239-5888
- **Practice address fax:** (202) 403-0508
- **Mailing address:** 8600 SNOWDEN RIVER PKWY STE 307, COLUMBIA, MD 21045-1986
- **Mailing address phone:** (410) 290-0255
- **Mailing address fax:** (410) 862-2775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 10/03/2025