Individual
LISA L. BALDRIDGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 752-2470
Mailing address
PO BOX 841307, PEMBROKE PINES, FL 33084-3307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD15527R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463884
—
LA
Enumeration date
03/03/2006
Last updated
07/08/2007
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