# DR. IRA SANDERS LOURIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174549992
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 8394 | MT | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | C1-007174 | DE | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | D15233 | MD | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD2004-0151 | NM | — |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | M30831 | CONTROLLED SUBSTANCE | MD |
| 01 | — | MD4393 | CONTROLLED SUBSTANCE | DE |