MEDICARE: LEXI LEE OETTERER LGPC

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	101YP2500X	Professional Counselor	LGPC200001946	DC

General Provider Information

NPI Number	:	1235065814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEXI LEE OETTERER LGPC

Provider Business Mailing Address
First Line	:	2523 14TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-7909
Country	:	US
Telephone Number	:	202-234-0904
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 ONTARIO RD NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-2812
Country	:	US
Telephone Number	:	202-234-0904
Fax Number	:

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

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “ LEXI LEE OETTERER LGPC” Practice Location

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