Basic Information
Provider Information | |||||||||
NPI: | 1811103047 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | WEEKS | ||||||||
FirstName: | LORNE | ||||||||
MiddleName: | E. | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D., P.C. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
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: | 207703502 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3012202127 | ||||||||
FaxNumber: | 3015130999 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/15/2007 | ||||||||
LastUpdateDate: | 02/06/2019 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD22712 | ME | N |   | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |   | 207XS0106X | D0066030 | MD | Y |   | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
No ID Information.