Healthcare Provider Details

I. General information

NPI: 1871415828
Provider Name (Legal Business Name): LUCIAN TATSA-LAUR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3717 DECATUR AVE STE 1
KENSINGTON MD
20895-2148
US

IV. Provider business mailing address

7302 HONEYWELL LN
BETHESDA MD
20814-1018
US

V. Phone/Fax

Practice location:
  • Phone: 844-361-2273
  • Fax: 888-251-5748
Mailing address:
  • Phone: 240-676-5255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0048449
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: