MEDICARE: DR. MARK H LEQUIRE M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	00013481	AL
2	2085R0202X	Diagnostic Radiology Physician	ME89827	FL
3	2085R0202X	Diagnostic Radiology Physician	20761	SC
4	2085R0202X	Diagnostic Radiology Physician	35-07-9272-L	OH
5	2085R0202X	Diagnostic Radiology Physician	0000-39011	NC
6	2085R0202X	Diagnostic Radiology Physician	H3097	TX
7	2085R0202X	Diagnostic Radiology Physician	34736	TN
8	2085R0204X	Vascular & Interventional Radiology Physician	00013481	AL
9	2085R0204X	Vascular & Interventional Radiology Physician	ME89827	FL
10	2085R0204X	Vascular & Interventional Radiology Physician	20761	SC
11	2085R0204X	Vascular & Interventional Radiology Physician	35-07-9272-L	OH
12	2085R0204X	Vascular & Interventional Radiology Physician	0000-39011	NC
13	2085R0204X	Vascular & Interventional Radiology Physician	H3097	TX
14	2085R0204X	Vascular & Interventional Radiology Physician	34736	TN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000058867	OTHER	AL	IDTF
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	000058866	OTHER	AL	IDTF
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	051504364	OTHER	AL	IDTF