MEDICARE: LEE EDWARD SCHWAB 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	D0022990	MD

General Provider Information

NPI Number	:	1700820313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE EDWARD SCHWAB M.D.

Provider Business Mailing Address
First Line	:	9357 COPENHAVER DR
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3023
Country	:	US
Telephone Number	:	301-762-1115
Fax Number	:	301-762-1115

Provider Business Practice Location Address
First Line	:	HOLY CROSS HOSPITAL
Second Line	:	1500 FOREST GLEN RD
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1484
Country	:	US
Telephone Number	:	301-754-7061
Fax Number	:	301-754-7154

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/08/2007

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