Provider Demographics
NPI:1780027276
Name:LAX, PETER JAMES (MB CHB (HONS) FRCA)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:JAMES
Last Name:LAX
Suffix:
Gender:M
Credentials:MB CHB (HONS) FRCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 FELL ST
Mailing Address - Street 2:APT 723
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3586
Mailing Address - Country:US
Mailing Address - Phone:202-492-7013
Mailing Address - Fax:
Practice Address - Street 1:951 FELL ST
Practice Address - Street 2:APT 723
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-3586
Practice Address - Country:US
Practice Address - Phone:202-492-7013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ6118817207L00000X, 207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine