Individual
LISA BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
753 JOHNSONBURG RD STE 150, SAINT MARYS, PA 15857
(724) 349-8636
Mailing address
753 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(724) 349-8636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP003823B
PA
Other
Enumeration date
10/13/2005
Last updated
11/28/2018
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