Individual
DR. KIRSTEN ELLIZABETH LYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5793
(410) 328-0248
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D0054066
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164416400
—
DE
05
—
2004288000
—
WV
01
—
614169-01 & 02
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
09/01/2005
Last updated
04/17/2008
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