Individual
DR. LISA B BAUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST YAW 4F, VINCENT OB/GYN SERVICE, BOSTON, MA 02114-2621
(617) 724-2229
(617) 724-3498
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-2229
(617) 724-3498
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
217620
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022915
—
MA
01
—
468545
TUFTS HEALTH PLAN
MA
01
—
J26788
BCBS OF MA
MA
Enumeration date
10/28/2005
Last updated
09/05/2012
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