Individual
MRS. LISA ROBIN BAILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
54 SCOTT ADAM RD STE 104, COCKEYSVILLE, MD 21030-3351
(410) 252-7770
(410) 252-7774
Mailing address
PO BOX 4036, TIMONIUM, MD 21094-4036
(410) 252-7770
(410) 252-7774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01507
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005453
ASHN
MD
01
—
103434
EHP
MD
01
—
2135093
MDIPA/UNITED HEALTHCARE
MD
01
—
39518
COVENTRY
MD
01
—
4304151
AETNA
MD
01
—
52664402
BLUECROSS BLUESHIELD
MD
01
—
R1230001
BLUECROSS FEDERAL
MD
Enumeration date
02/01/2007
Last updated
09/07/2021
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