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NPI Code Detail

MEDICARE: MS. LISA ELLEN BAITZEL LSW

MEDICARE: MS. LISA ELLEN BAITZEL LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW015895PA

General Provider Information

NPI Number : 1912097379
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA ELLEN BAITZEL LSW
Provider Business Mailing Address
First Line : 500 N WEST ST
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18901-2366
Country : US
Telephone Number : 215-345-5300
Fax Number : 267-893-5100
Provider Business Practice Location Address
First Line : 500 N WEST ST
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18901-2366
Country : US
Telephone Number : 215-345-5300
Fax Number : 267-893-5100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 09/25/2015

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