Baker, Lisa M.

Baker, Lisa M. is an sole proprietor health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Baker, Lisa M. can be contacted via phone (608) 251-6100.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Phone: (608) 251-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2805 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2805-57 Wisconsin

Profile Details

NPI number 1821044033
LBN Legal business name Baker, Lisa M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Dec 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821044033 NPPES
Wisconsin MEDICAID 1821044033

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