Basic Information
| Provider Information | |||||||||
| NPI: | 1750572954 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LORNE E. WEEKS, M.D., P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7500 GREENWAY CENTER DR | ||||||||
| Address2: | SUITE 520 | ||||||||
| City: | GREENBELT | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207703514 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012202127 | ||||||||
| FaxNumber: | 3015130999 | ||||||||
| Practice Location | |||||||||
| Address1: | 7500 GREENWAY CENTER DR | ||||||||
| Address2: | SUITE 520 | ||||||||
| City: | GREENBELT | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207703514 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012202127 | ||||||||
| FaxNumber: | 3015130999 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2007 | ||||||||
| LastUpdateDate: | 02/08/2011 | ||||||||
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| AuthorizedOfficialLastName: | WEEKS | ||||||||
| AuthorizedOfficialFirstName: | LORNE | ||||||||
| AuthorizedOfficialMiddleName: | E. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3012202127 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0106X | D0066030 | MD | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
ID Information
| ID | Type | State | Issuer | Description | 015494600 | 05 | MD | MEDICAID |