Individual
LISA M BAUMGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15887
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000038656
BMC HEALTHNET
MA
05
—
0711683
—
MA
01
—
40193
HEALTH NEW ENGLAND
MA
01
—
5978465
CIGNA
MA
01
—
637747
TUFTS
MA
01
—
Y68083
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/24/2006
Last updated
04/28/2009
Update your record
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