Individual
LISA CATHERINE KATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 DEFENSE HWY, SUITE 201, CROFTON, MD 21114-2926
(410) 451-5500
(410) 451-5504
Mailing address
2200 DEFENSE HWY, SUITE 201, CROFTON, MD 21114-2926
(410) 451-5500
(410) 451-5504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0063518
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161955
PTAN
MD
Enumeration date
03/09/2006
Last updated
12/10/2012
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