Individual
DR. IRA SANDERS LOURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18902 PRESTON RD, HAGERSTOWN, MD 21742-2712
(301) 733-2633
(301) 733-7388
Mailing address
18902 PRESTON RD, HAGERSTOWN, MD 21742-2712
(301) 733-2633
(301) 733-7388
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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