Organization
UAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MARIA BALDONE CRNP (FAMILY NURSE PRACTITIONER)
(205) 934-9595
Entity
Organization
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-6914
(220) 593-4959
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-6914
(220) 593-4959
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1-045125
AL
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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