Provider Demographics
NPI:1811382120
Name:FLANDERS, LAWRENCE DEAN (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:DEAN
Last Name:FLANDERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE STE 950
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6912
Mailing Address - Country:US
Mailing Address - Phone:301-657-5700
Mailing Address - Fax:301-654-9132
Practice Address - Street 1:5454 WISCONSIN AVE STE 950
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6912
Practice Address - Country:US
Practice Address - Phone:301-657-5700
Practice Address - Fax:301-654-9132
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA161279207W00000X
MDD0090134207W00000X, 207WX0120X
DCMD048660207W00000X, 207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology