Individual
LOURDES VILLACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8901 WISCONSING AVE, BUILDING 10, # 7125, BETHESDA, MD 20889
(301) 400-0492
Mailing address
8901 WISCONSIN AVE, BUILDING 10, 7TH FLOOR, #7125, BETHESDA, MD 20889
(301) 400-0492
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H0062196
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H0062196
—
MD
Enumeration date
11/30/2006
Last updated
04/18/2024
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