Provider Demographics
NPI:1851446306
Name:SETH H. LOURIE MD PC
Entity Type:Organization
Organization Name:SETH H. LOURIE MD PC
Other - Org Name:ARTHRITIS ASSOCIATES OF PG COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:LOURIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:301-513-7777
Mailing Address - Street 1:7500 HANOVER PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2010
Mailing Address - Country:US
Mailing Address - Phone:301-513-7777
Mailing Address - Fax:301-441-2474
Practice Address - Street 1:7500 HANOVER PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2010
Practice Address - Country:US
Practice Address - Phone:301-513-7777
Practice Address - Fax:301-441-2474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0007944282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406327900Medicaid
MD406327900Medicaid