Individual
DR. JASON M LEE-LLACER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PKWY, ACUTE CARE PAVILION, ANNAPOLIS, MD 21401-3280
(443) 481-1000
Mailing address
PO BOX 64916, BALTIMORE, MD 21264-4916
(443) 481-6467
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0064818
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042
CAREFIRST
—
01
—
145724700
DEPT. OF LABOR
—
01
—
1503640
AETNA HMO
—
01
—
206362
JHHC
—
01
—
263508
KAISER
—
01
—
318699
AMERIGROUP
—
05
—
412132500
—
MD
01
—
7132906
AETNA PPO
—
01
—
89550101
CAREFIRST
—
Enumeration date
12/22/2006
Last updated
06/09/2008
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