MEDICARE: DR. STEVE LININGER, LLC

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	302R00000X	Health Maintenance Organization	11L20454	VA

General Provider Information

NPI Number	:	1467718544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. STEVE LININGER, LLC

Provider Business Mailing Address
First Line	:	8214 CENTREVILLE RD
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20111-2226
Country	:	US
Telephone Number	:	703-396-7770
Fax Number	:	703-396-7008

Provider Business Practice Location Address
First Line	:	8214 CENTREVILLE RD
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20111-2226
Country	:	US
Telephone Number	:	703-396-7770
Fax Number	:	703-396-7008

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DR. STEPHEN LININGER
Credential	:	DC
Telephone Number	:	703-396-7770

Provider Enumeration Date	:	04/03/2012
Last Update Date	:	04/03/2012

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