1932138906 NPI number — DR. JOHN LAWRENCE LOSEE M.D.

Table of content: DR. JOHN LAWRENCE LOSEE M.D. (NPI 1932138906)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932138906 NPI number — DR. JOHN LAWRENCE LOSEE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOSEE
Provider First Name:
JOHN
Provider Middle Name:
LAWRENCE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932138906
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7401 WINDY HILL CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCLEAN
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22102-2800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-556-0202
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1147 20TH ST NW
Provider Second Line Business Practice Location Address:
#400
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-223-1024
Provider Business Practice Location Address Fax Number:
202-223-2152
Provider Enumeration Date:
07/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  MD21837 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7018-0001 . This is a "BCBS PROVIDER #" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




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