Individual
LISA YVONNE REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 W PRATT ST, 3RD FLOOR, BALTIMORE, MD 21201-1023
(410) 328-2539
(410) 328-5882
Mailing address
960 FELL ST, UNIT 510, BALTIMORE, MD 21231-3520
(443) 538-5678
(410) 328-5882
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0056120
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403725100
—
MD
Enumeration date
07/28/2006
Last updated
07/08/2007
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