| Lee-llacer & Lee-llacer, Md Pa | |
|
818 Bayside Dr Stevensville MD 21666-2734 | |
| (202) 239-5888 | |
| (202) 403-0508 |
| Full Name | Lee-llacer & Lee-llacer, Md Pa |
|---|---|
| Speciality | Anesthesiology |
| Location | 818 Bayside Dr, Stevensville, Maryland |
| Authorized Official Name and Position | Caraol Baltazar (COO) |
| Authorized Official Contact | 4102900255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee-llacer & Lee-llacer, Md Pa 8600 Snowden River Pkwy Ste 307 Columbia MD 21045-1986 Ph: (410) 290-0255 | Lee-llacer & Lee-llacer, Md Pa 818 Bayside Dr Stevensville MD 21666-2734 Ph: (202) 239-5888 |
| NPI Number | 1144314899 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 10/03/2025 |
| Medicare PECOS PAC ID | 9436136157 |
|---|---|
| Medicare Enrollment ID | O20230809000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144314899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207LC0200X | Anesthesiology - Critical Care Medicine | (* (Not Available)) | Primary |
| Provider Name | Reynaldo L Lee-llacer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477566875 PECOS PAC ID: 9133109788 Enrollment ID: I20040723000222 |
| Provider Name | Zorayda M Lee-llacer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679577092 PECOS PAC ID: 0941294391 Enrollment ID: I20230904000093 |
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