Individual
MISS LISA MARIE BAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CORPSMAN
Contact information
Practice address
1 MUNRO AVE, CAPE MAY, NJ 08204-5000
(609) 898-6610
Mailing address
1 MUNRO AVE, CAPE MAY, NJ 08204-5000
(609) 898-6610
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
24720000X
NJ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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