Provider Demographics
NPI:1609815968
Name:DRS LENET LENET & GINSBURG PA
Entity Type:Organization
Organization Name:DRS LENET LENET & GINSBURG PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:D
Authorized Official - Last Name:LENET
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-456-1760
Mailing Address - Street 1:23 CROSSROADS DR STE 210
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5467
Mailing Address - Country:US
Mailing Address - Phone:410-581-0400
Mailing Address - Fax:410-581-0404
Practice Address - Street 1:23 CROSSROADS DR STE 210
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5467
Practice Address - Country:US
Practice Address - Phone:410-581-0400
Practice Address - Fax:410-581-0404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00304213E00000X
MD00292213E00000X
213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD603018100Medicaid
MDH599OtherCAREFIRST BC BS NATIONAL
MD100656OtherHELIX
MDH599OtherCAREFIRST BC BS
MD=========OtherWAUSAU
MD=========OtherCIGNA
MD=========OtherASSOCIATED ADMINISTRATORS
MD=========OtherNCAS
MD=========OtherEHP JOHN HOPKINS HEALTH
MDH599OtherCAREFIRST BC BS NATIONAL
MD603018100Medicaid
MD=========OtherGREAT WEST
MDH599OtherCAREFIRST BC BS
MD=========OtherAARP
MDH599OtherCAREFIRST BC BS
MD100656OtherHELIX