Organization
SPECTRUM PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA LIXIN ZHENG M.D. (OWNER)
(301) 916-9696
Entity
Organization
Contact information
Practice address
5 EXECUTIVE PARK COURT, GERMANTOWN, MD 20874-2639
(301) 916-9696
(301) 916-5533
Mailing address
5 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2643
(301) 916-9696
(301) 515-8866
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
D0056323
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
789500301
—
MD
Enumeration date
09/22/2006
Last updated
05/02/2024
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