# LISA C. KATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811120488
- **Authorized official:** DR. LISA CATHERINE KATES M.D. (PRESIDENT)
- **Authorized official phone:** (410) 451-5500

## Contact information

- **Practice address:** 2200 DEFENSE HWY STE 201, CROFTON, MD 21114-2927
- **Practice address phone:** (410) 451-5500
- **Practice address fax:** (410) 451-5504
- **Mailing address:** 2200 DEFENSE HWY STE 201, CROFTON, MD 21114-2927
- **Mailing address phone:** (410) 451-5500
- **Mailing address fax:** (410) 451-5504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D0063518 | MD | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 08/31/2009
