Organization
LEE-LLACER & LEE-LLACER, MD,PA
Active
Organization
LEE-LLACER & LEE-LLACER, MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BALTAZAR (COO)
(410) 290-0255
Entity
Organization
Contact information
Practice address
818 BAYSIDE DR, STEVENSVILLE, MD 21666-2734
(410) 290-0255
Mailing address
818 BAYSIDE DR, STEVENSVILLE, MD 21666-2734
(410) 290-0255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0012962
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0012962
MD
208600000X
Surgery Physician
D008273
MD
Other
Enumeration date
02/28/2007
Last updated
08/28/2025
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