# SIRJ, LLC

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

## Provider details

- **NPI number:** 1639487341
- **Authorized official:** DR. JASON M LEE-LLACER M.D. (SOLE OWNER)
- **Authorized official phone:** (443) 977-8406

## Contact information

- **Practice address:** 8118 GOOD LUCK RD, LANHAM, MD 20706-3574
- **Practice address phone:** (443) 977-8406
- **Mailing address:** 12 E LAFAYETTE AVE, BALTIMORE, MD 21202-2847
- **Mailing address phone:** (443) 977-8406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 09/15/2010
- **Last updated:** 09/15/2010