Healthcare Provider Details

I. General information

NPI: 1992866271
Provider Name (Legal Business Name): LONNIE JOAN LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LONNIE JOAN WEINHEIMER MD

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6525 BELCREST ROAD SUITE 160
HYATTSVILLE MD
20782-2003
US

IV. Provider business mailing address

2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNIT 6 W ATTN THERESA BROOKS
ROCKVILLE MD
20852-4908
US

V. Phone/Fax

Practice location:
  • Phone: 301-209-6218
  • Fax: 301-209-6284
Mailing address:
  • Phone: 301-816-6660
  • Fax: 301-816-6308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU00870
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101231749
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0053582
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD039321
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: