Lisa Baker, CSA
Individual provider Active NPI Surgical Assistant · Madisonville, KY
NPI 1386973345 · NPPES record last updated Dec 21, 2009
Key facts
- NPI
- 1386973345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- SA156 (KY)
- Practice address
- 900 Hospital Dr
Madisonville, KY 42431-1644 - Phone
- (270) 825-5100
- NPI assigned
- Dec 21, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA156 | KY | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA156 | KY | Yes |
Addresses
Primary practice location
900 Hospital Dr
Madisonville, KY 42431-1644
Mailing address
900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5100
Other providers in Madisonville, KY
- James Bradley Ashby
- Margo Nicks Ashby
- Stephanie Bailie
- Julie Ann Bak
- John Reid Baker
- Ben E Baldwin
- Brandi Susanne Baldwin
- Andrew Banks
- Vishal Bansal
- Varinder Pal Singh Bansro
All providers in Madisonville, KY · Surgical Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.