Organization
LANCE G. LEITHAUSER, M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE G. LEITHAUSER M.D. (M.D.)
(301) 294-9400
Entity
Organization
Contact information
Practice address
9715 MEDICAL CENTER DR, SUITE 535, ROCKVILLE, MD 20850-3320
(301) 294-9400
(301) 294-0149
Mailing address
9715 MEDICAL CENTER DR, SUITE 535, ROCKVILLE, MD 20850-3320
(301) 294-9400
(301) 294-0149
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D0021581
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189061100
—
MD
Enumeration date
03/03/2011
Last updated
03/04/2011
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