Individual
LISA MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
(320) 321-8200
Mailing address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
(320) 321-8200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36225
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467865600
—
MN
Enumeration date
02/08/2006
Last updated
09/18/2024
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