Healthcare Provider Details

I. General information

NPI: 1972510741
Provider Name (Legal Business Name): ROBERT A LAGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 K ST NW STE 800
WASHINGTON DC
20037-1898
US

IV. Provider business mailing address

106 IRVING ST NW STE 2700N
WASHINGTON DC
20010-2927
US

V. Phone/Fax

Practice location:
  • Phone: 202-822-9356
  • Fax: 202-331-0451
Mailing address:
  • Phone: 202-723-5524
  • Fax: 202-291-0512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD33708
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: