Baum, Lisa Ann

Baum, Lisa Ann is an individual health care provider with primary practice located at 6840 78Th Ave N , Brooklyn Park MN 55445-2760. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Baum, Lisa Ann can be contacted via phone (612) 718-6230.

Contact Information

Primary practice address
6840 78Th Ave N Brooklyn Park MN 55445-2760
Phone: (612) 718-6230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 94145611 California
Nursing Service Providers / Registered Nurse 163W00000X R146370-1 Minnesota

Profile Details

NPI number 1942788989
LBN Legal business name Baum, Lisa Ann
Credentials RN, CDDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2018
Last updated Aug 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942788989 NPPES
California Other 94145611 NURSING LICENSE
California Other R146370-1 NURSING LICENSE
California Other 2015015 NURSING LICENSE

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