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Individual
DR. IRA SANDERS LOURIE
Active
Individual
DR. IRA SANDERS LOURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
8394
MT
2084P0804X
Child & Adolescent Psychiatry Physician
C1-007174
DE
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D15233
MD
2084P0804X
Child & Adolescent Psychiatry Physician
MD2004-0151
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M30831
CONTROLLED SUBSTANCE
MD
01
—
MD4393
CONTROLLED SUBSTANCE
DE
Enumeration date
07/14/2006
Last updated
07/08/2007
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