OrganizationActive
Lisa C. Kates, LLC
NPI 1811120488 · Medical Specialty Clinic/Center · Crofton, MD
Provider details
- NPI number
- 1811120488
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Kates, President(410) 451-5500
- License
- D0063518 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2200 Defense Hwy Ste 201
Crofton, MD 21114-2927
Phone: (410) 451-5500
Fax: (410) 451-5504
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Defense Hwy Ste 201
Crofton, MD 21114-2927
Registry dates
- Enumerated
- 2009-08-31
- Last updated
- 2009-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.