Individual
LISA DAWN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 DEGRAW ST FL 3, BROOKLYN, NY 11217-4596
(929) 397-9740
(718) 622-3215
Mailing address
621 DEGRAW ST FL 3, BROOKLYN, NY 11217-4596
(929) 397-9740
(718) 622-3215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206542
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01843705
—
NY
Enumeration date
03/18/2006
Last updated
11/07/2023
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