Organization
LEE-LLACER & LEE-LLACER, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARAOL BALTAZAR (COO)
(410) 290-0255
Entity
Organization
Contact information
Practice address
818 BAYSIDE DR, STEVENSVILLE, MD 21666-2734
(202) 239-5888
(202) 403-0508
Mailing address
8600 SNOWDEN RIVER PKWY STE 307, COLUMBIA, MD 21045-1986
(410) 290-0255
(410) 862-2775
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/03/2006
Last updated
10/03/2025
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