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NPI Code Detail

MEDICARE: DR. LISA MARIE BAUMEISTER MD

MEDICARE: DR. LISA MARIE BAUMEISTER MD
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
1207Q00000XFamily Medicine PhysicianG080745CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952354805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA MARIE BAUMEISTER MD
Provider Business Mailing Address
First Line : 2660 WEST COVELL BOULEVARD
Second Line :
City : DAVIS
State : CA
Zip : 95616-5645
Country : US
Telephone Number : 530-747-3000
Fax Number : 530-747-3041
Provider Business Practice Location Address
First Line : 2660 WEST COVELL BOULEVARD
Second Line :
City : DAVIS
State : CA
Zip : 95616-5645
Country : US
Telephone Number : 530-747-3000
Fax Number : 530-747-3041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 04/29/2011

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Directions to “ DR. LISA MARIE BAUMEISTER MD” Practice Location

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