Provider Demographics
NPI:1265523443
Name:LEFKOF, JOAN ELIZABETH (NP)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:ELIZABETH
Last Name:LEFKOF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:10313 GEORGIA AVE STE 202
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5006
Practice Address - Country:US
Practice Address - Phone:301-681-9101
Practice Address - Fax:301-681-3525
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP06662363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLENP14991Medicaid
OHNP14991Medicare ID - Type UnspecifiedCANTON PROV #
OHNP14992Medicare ID - Type UnspecifiedCARROLLTON PROV #
OH9324292Medicare ID - Type UnspecifiedCARROLLTON GROUP #
OHLENP14991Medicaid
OHQ09039Medicare UPIN