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NPI Code Detail

MEDICARE: DR. LON MERIN MD

MEDICARE: DR. LON MERIN MD
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
1207L00000XAnesthesiology Physician178525NY

Other Identifiers

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

General Provider Information

NPI Number : 1427030246
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LON MERIN MD
Provider Business Mailing Address
First Line : 3998 FAIR RIDGE DR
Second Line : STE 300
City : FAIRFAX
State : VA
Zip : 22033-2921
Country : US
Telephone Number : 703-295-9360
Fax Number : 703-766-9725
Provider Business Practice Location Address
First Line : 707 E MAIN ST
Second Line : ORANGE REGIONAL MEDICAL CENTER
City : MIDDLETOWN
State : NY
Zip : 10940-2650
Country : US
Telephone Number : 845-333-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 03/19/2015

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