Provider Demographics
NPI:1003825365
Name:L.L. MCGINNIS, D.P.M., P.A.
Entity Type:Organization
Organization Name:L.L. MCGINNIS, D.P.M., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-583-9229
Mailing Address - Street 1:1513 YORK RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5611
Mailing Address - Country:US
Mailing Address - Phone:410-583-9229
Mailing Address - Fax:410-583-9229
Practice Address - Street 1:1513 YORK RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-5611
Practice Address - Country:US
Practice Address - Phone:410-583-9229
Practice Address - Fax:410-583-9229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00954213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty