Baute, Lisa B

Baute, Lisa B is an individual health care provider with primary practice located at 55 Fruit St Yaw 4F Vincent Ob/Gyn Service, Boston MA 02114-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Baute, Lisa B can be contacted via phone (617) 724-2229.

Contact Information

Primary practice address
55 Fruit St Yaw 4F Vincent Ob/Gyn Service Boston MA 02114-2621
Phone: (617) 724-2229
Fax: (617) 724-3498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 217620 Massachusetts

Profile Details

NPI number 1881684967
LBN Legal business name Baute, Lisa B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Sep 5th, 2012 - about 14 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 1881684967 NPPES
Massachusetts MEDICAID 2022915
Massachusetts Other 468545
Massachusetts Other J26788

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