Provider Demographics
NPI:1851025431
Name:LION SASSOON DPM LLC
Entity Type:Organization
Organization Name:LION SASSOON DPM LLC
Other - Org Name:OWINGS MILLS PODIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LION
Authorized Official - Middle Name:
Authorized Official - Last Name:SASSOON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-998-3993
Mailing Address - Street 1:9199 REISTERSTOWN RD STE 107B
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4513
Mailing Address - Country:US
Mailing Address - Phone:410-998-3993
Mailing Address - Fax:410-998-3995
Practice Address - Street 1:9199 REISTERSTOWN RD STE 107B
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4513
Practice Address - Country:US
Practice Address - Phone:410-998-3993
Practice Address - Fax:410-998-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty