Individual
LISA MARIE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3138 S GARNETT RD, TULSA, OK 74146-1933
(918) 203-7005
(918) 203-0565
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-5257
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28383
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200128670A
—
OK
01
—
800522535
MEDICARE GROUP PIN
OK
Enumeration date
01/30/2007
Last updated
03/15/2022
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