MEDICARE: PETER D LENARD M.D.

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	208600000X	Surgery Physician	0101025268	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326155615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER D LENARD M.D.

Provider Business Mailing Address
First Line	:	1485 CHAIN BRIDGE RD
Second Line	:	SUITE 202
City	:	MCLEAN
State	:	VA
Zip	:	22101-4501
Country	:	US
Telephone Number	:	703-734-2890
Fax Number	:	703-734-0305

Provider Business Practice Location Address
First Line	:	1485 CHAIN BRIDGE RD
Second Line	:	SUITE 202
City	:	MCLEAN
State	:	VA
Zip	:	22101-4501
Country	:	US
Telephone Number	:	703-734-2890
Fax Number	:	703-734-0305

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	12/04/2007

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