Individual
LISA M BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8051 S EMERSON AVE, INDIANAPOLIS, IN 46237-8600
(317) 865-2955
Mailing address
8051 S EMERSON AVE, SUITE 200, INDIANAPOLIS, IN 46237-8600
(317) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1037192
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100337840
—
IN
Enumeration date
06/10/2006
Last updated
06/25/2012
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