Provider Demographics
NPI:1962600122
Name:KRATZ, LISA ELINOR (PHD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ELINOR
Last Name:KRATZ
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:707 N BROADWAY
Mailing Address - Street 2:ROOM 526
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-1832
Mailing Address - Country:US
Mailing Address - Phone:443-923-2782
Mailing Address - Fax:443-923-2781
Practice Address - Street 1:707 N BROADWAY
Practice Address - Street 2:ROOM 526
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1832
Practice Address - Country:US
Practice Address - Phone:443-923-2782
Practice Address - Fax:443-923-2781
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics