Baker, Lisa Susan

Baker, Lisa Susan is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospial Surgery Dept, Hartford CT 06102-5037. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Baker, Lisa Susan can be contacted via phone (860) 545-2840.

Contact Information

Primary practice address
80 Seymour Street Hartford Hospial Surgery Dept Hartford CT 06102-5037
Phone: (860) 545-2840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gastroenterology 163WG0100X 001890 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 001890 Connecticut

Profile Details

NPI number 1528162146
LBN Legal business name Baker, Lisa Susan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 12th, 2010 - about 14 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 1528162146 NPPES
Connecticut MEDICAID 004018908

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