Provider Demographics
NPI:1629121538
Name:KALER, LORI MICHELLE (MD)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:MICHELLE
Last Name:KALER
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 1:10401 OLD GEORGETOWN RD
Mailing Address - Street 2:#307
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-897-0945
Mailing Address - Fax:301-530-6042
Practice Address - Street 1:10401 OLD GEORGETOWN RD
Practice Address - Street 2:#307
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-897-0945
Practice Address - Fax:301-530-6042
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0038645207V00000X
DCMD18019207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC9423000LOtherBCBS
MDOK65OtherBCBS
KA577379Medicare ID - Type Unspecified
MDOK65OtherBCBS