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Individual

LISA DAWN BAIOCCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
37 E PHOENIX AVE, LAWNSIDE, NJ 08045-1523
(856) 546-6454
(856) 547-1931
Mailing address
37 E PHOENIX AVE # A, LAWNSIDE, NJ 08045-1523
(856) 546-6464
(856) 547-1913

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
NJ

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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