Provider Demographics
NPI:1295011732
Name:FISHER, LORI ANN MAE (MD)
Entity Type:Individual
Prefix:
First Name:LORI ANN
Middle Name:MAE
Last Name:FISHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JOHNS HOPKINS UNIVERSITY OF NEPHROLOGY
Mailing Address - Street 2:1830 E. MONUMENT STREET, 4 TH FLOOR, SUITE 416
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0001
Mailing Address - Country:US
Mailing Address - Phone:410-955-5268
Mailing Address - Fax:410-955-0485
Practice Address - Street 1:JOHNS HOPKINS UNIVERSITY OF NEPHROLOGY
Practice Address - Street 2:1830 E. MONUMENT STREET, 4 TH FLOOR, SUITE 416
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-955-5268
Practice Address - Fax:410-955-0485
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program