Provider Demographics
NPI:1578558359
Name:STEINER-LARSEN, VICTORIA ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ELIZABETH
Last Name:STEINER-LARSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CATON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5201
Mailing Address - Country:US
Mailing Address - Phone:410-369-2000
Mailing Address - Fax:410-369-2008
Practice Address - Street 1:900 CATON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5201
Practice Address - Country:US
Practice Address - Phone:410-369-2000
Practice Address - Fax:410-369-2008
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD285931900Medicaid
MD285931900Medicaid
2105419OtherMDIPA/MAMSI/OPTIMUM CHOIC
R8280005OtherCAREFIRST BCBS FEDERAL/DC
0103536OtherUNITED HEALTHCARE/AMERICH
0505177OtherAETNA
MD52723309OtherCAREFIRST BCBS
MD285931900Medicaid
R8280005OtherCAREFIRST BCBS FEDERAL/DC
139LF615Medicare PIN