Individual
LISA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 STATE AVE, FARIBAULT, MN 55021-6339
(507) 334-6451
Mailing address
22708 ALBERS AVE, FARIBAULT, MN 55021-8164
(507) 331-5062
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
R1567607
MN
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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