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Individual

LYSLE BAUMGARTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3400 KENNY RD, UPPER ARLINGTON, OH 43221-1500
(614) 457-8158
(614) 457-9155
Mailing address
3400 KENNY RD, UPPER ARLINGTON, OH 43221-1500
(614) 457-8158
(614) 457-9155

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
35-022954
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0449385
OH
Enumeration date
06/05/2007
Last updated
07/08/2007
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