MEDICARE: LACHER AMBULATORY SURGICAL CENTER

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	261QA1903X	Ambulatory Surgical Clinic/Center	A1210	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A1210	OTHER	MD	FACILITY LICENSE #

General Provider Information

NPI Number	:	1558358291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LACHER AMBULATORY SURGICAL CENTER

Provider Business Mailing Address
First Line	:	7505 OSLER DR
Second Line	:	SUITE 202
City	:	TOWSON
State	:	MD
Zip	:	21204-7736
Country	:	US
Telephone Number	:	410-321-0882
Fax Number	:	410-321-1161

Provider Business Practice Location Address
First Line	:	7505 OSLER DR
Second Line	:	SUITE 202
City	:	TOWSON
State	:	MD
Zip	:	21204-7736
Country	:	US
Telephone Number	:	410-321-0882
Fax Number	:	410-321-1161

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN LACHER
Credential	:	M.D.
Telephone Number	:	410-321-0882

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	08/22/2020

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