Bauman, Lisa M

Bauman, Lisa M is an individual health care provider with primary practice located at 8051 S Emerson Ave , Indianapolis IN 46237-8600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Bauman, Lisa M can be contacted via phone (317) 865-2955.

Contact Information

Primary practice address
8051 S Emerson Ave Indianapolis IN 46237-8600
Phone: (317) 865-2955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 1037192 Indiana

Profile Details

NPI number 1053353706
LBN Legal business name Bauman, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jun 25th, 2012 - about 12 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 1053353706 NPPES
Indiana MEDICAID 100337840

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