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NPI Code Detail

MEDICARE: DC UROLOGY PLLC

MEDICARE: DC UROLOGY PLLC
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
1174400000XSpecialistMD21837DC

General Provider Information

NPI Number : 1639340821
Entity Type Code : Organization
Provider Name (Legal Business Name) : DC UROLOGY PLLC
Provider Business Mailing Address
First Line : 3301 NEW MEXICO AVE NW
Second Line : STE 250
City : WASHINGTON
State : DC
Zip : 20016-3610
Country : US
Telephone Number : 202-537-3331
Fax Number : 202-686-8275
Provider Business Practice Location Address
First Line : 3301 NEW MEXICO AVE NW
Second Line : STE 250
City : WASHINGTON
State : DC
Zip : 20016-3610
Country : US
Telephone Number : 202-537-3331
Fax Number : 202-686-8275
Authorized Official
Title or Position : OWNER
Name : DR. JOHN LAWRENCE LOSEE
Credential : M.D.
Telephone Number : 202-537-3331
Provider Enumeration Date : 03/17/2008
Last Update Date : 03/17/2008

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Directions to “DC UROLOGY PLLC ” Practice Location

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