Provider Demographics
NPI:1639140478
Name:LAWYER, LENAYE LYNNE (MD)
Entity Type:Individual
Prefix:DR
First Name:LENAYE
Middle Name:LYNNE
Last Name:LAWYER
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:PO BOX 759
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-0759
Mailing Address - Country:US
Mailing Address - Phone:410-340-2431
Mailing Address - Fax:
Practice Address - Street 1:11490 HOMEWOOD RD
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-1504
Practice Address - Country:US
Practice Address - Phone:410-340-2431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2020-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0051900207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
341M466FMedicare ID - Type Unspecified
G53987Medicare UPIN