Provider Demographics
NPI:1932138906
Name:LOSEE, JOHN LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LAWRENCE
Last Name:LOSEE
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 1:7401 WINDY HILL CT
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-2800
Mailing Address - Country:US
Mailing Address - Phone:703-556-0202
Mailing Address - Fax:
Practice Address - Street 1:1147 20TH ST NW
Practice Address - Street 2:#400
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-223-1024
Practice Address - Fax:202-223-2152
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD21837208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC7018-0001OtherBCBS PROVIDER #
DC7018-0001OtherBCBS PROVIDER #
DCG99414Medicare UPIN