MEDICARE: DR. LARS H. REINHART M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	021112	SC
2	207P00000X	Emergency Medicine Physician	D0068540	MD
3	207P00000X	Emergency Medicine Physician	0101057163	VA

Other Identifiers

#	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

General Provider Information

NPI Number	:	1972509008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARS H. REINHART M.D.

Provider Business Mailing Address
First Line	:	25500 POINT LOOKOUT RD
Second Line	:
City	:	LEONARDTOWN
State	:	MD
Zip	:	20650-2015
Country	:	US
Telephone Number	:	301-475-6488
Fax Number	:	240-434-7103

Provider Business Practice Location Address
First Line	:	25500 POINT LOOKOUT RD
Second Line	:
City	:	LEONARDTOWN
State	:	MD
Zip	:	20650-2015
Country	:	US
Telephone Number	:	301-475-6488
Fax Number	:	240-434-7103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	04/07/2011

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Directions to “ DR. LARS H. REINHART M.D.” Practice Location

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