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Individual

DR. KATHERINE DEOREO LACKRITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
834 CHESTNUT STREET, SUITE 300, PHILADELPHIA, PA 19107-5127
(215) 955-5000
(215) 923-1089
Mailing address
834 CHESTNUT STREET, SUITE 300, PHILADELPHIA, PA 19107-5127
(215) 955-5000
(215) 923-1089

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
255785
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
MD443245
PA

Other

Enumeration date
04/20/2010
Last updated
08/11/2011
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