Provider Demographics
NPI:1972509008
Name:REINHART, LARS H (MD)
Entity Type:Individual
Prefix:DR
First Name:LARS
Middle Name:H
Last Name:REINHART
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 1:25500 POINT LOOKOUT RD
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2015
Mailing Address - Country:US
Mailing Address - Phone:301-475-6488
Mailing Address - Fax:240-434-7103
Practice Address - Street 1:25500 POINT LOOKOUT RD
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2015
Practice Address - Country:US
Practice Address - Phone:301-475-6488
Practice Address - Fax:240-434-7103
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC021112207P00000X
MDD0068540207P00000X
VA0101057163207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT50553Medicaid
MD416737600Medicaid
SCT50553Medicaid
MD416737600Medicaid
MD144220Y1ZMedicare PIN