Individual
LISA L DECKER BAUMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1150 NW 14TH ST, 4TH FLOOR, MIAMI, FL 33136-2137
(305) 243-9068
(305) 243-4678
Mailing address
1150 NW 14TH ST, 4TH FLOOR, MIAMI, FL 33136-2137
(305) 243-9068
(305) 243-4678
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
DI38534
FL
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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