Individual
MISS LISA MARIE BAUTZ
Active
Individual
MISS LISA MARIE BAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CORPSMAN
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
24720000X
NJ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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