Healthcare Provider Details

I. General information

NPI: 1952403545
Provider Name (Legal Business Name): LAWRENCE ZINAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRVING ST NW
WASHINGTON DC
20422-0001
US

IV. Provider business mailing address

9451 KEEPSAKE WAY
COLUMBIA MD
21046-2019
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-8000
  • Fax: 202-745-8611
Mailing address:
  • Phone: 301-776-7672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0023798
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: